Earls Hall Veterinary Group

		Emergencies: Out of Hours Service: 07860 645678	230 Prince Avenue, Westcliff-on-Sea, Essex SS0 0NN Tel: 01702 322 222 Fax: 01702 322 250 Email: info@ehvg.co.uk

Opening Times
Mon-Fri 8:00am-8:00pm
Saturday 8:00am - 6:00pm
Sunday 10:00am - 12:00pm

"We aim to provide a caring,
professional - and at the same
time, friendly - healthcare
service for all pets, both in
terms of preventative medicine
and in time of illness."

Alastair England,
MRCVS (Partner)

Repeat Prescription Request Form

To request your repeat prescription, please fill in your details below and submit. You will be given an automated response once we have received your request.

* Required Field

I have read this information and am happy to continue *


Title:

First Name:*

Surname:*

Address:*







Post Code:*

Contact Number 1:*

Contact Number 2:

Email Address:*

Pets Name:*

Species:*

Drug Name *

Strength

Dosage Currently Administered:*

Quantity Administered:*

Date First Prescribed:

Last Veterinary Check up:

Written Prescription Required?



We do not charge you for a prescription, however, The Earls Hall Veterinary Group agrees to charge the same fee for any prescription filled inside or outside the surgery, which properly reflects the costs of the time taken in preparation (such as determining dosage, checking medical records etc). This fee will be the same regardless of the duration of the prescription as per the ‘Supply of Relevant Medicinal Product Order 2005’ - www.opsi.gov.uk

Join The Earls Hall Veterinary Group
Ask a Vet?
Food Order Request
Repeat Prescription Request

Terms and Conditions