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CLIENT MEDICATION ONLINE ORDER FORM

This form is available as a service for our clients with animals on long term medications.
Please use this form only if you are an established client, to order repeat prescriptions for animals which are already under the care of the Latrobe Veterinary Group.
We cannot supply prescription drugs for animals which are not under our care, unless we examine them in the clinic.
If you wish to have your pet examined, please contact the clinics to arrange an appointment or click here to book an appointment online.

Your name: emptyPlease enter the same name as used at the clinic

Home phone: emptyMobile: empty email address:

Address:

Pet name: emptyDrug name:
Current dosage:

Is your pet doing well: emptyYes emptyNo emptyIf no, a staff member will contact you to discuss the situation

Amount required:
emptyGenerally we dispense the same as last prescription. If more required, please contact the clnics.

Clinic to pick up from: emptyMorwell emptyTraralgon
When would you like to pick it up:

Comments: