Wendover Heights Veterinary Centre

Tring Road, Halton, Aylesbury, Bucks HP22 5PN  01296 623439

 

Request for prescription medication

(fields marked * are required fields)

 

PLEASE NOTE THAT WE REQUIRE 24 HOURS’ NOTICE FOR PRESCRIPTIONS.

 

If your request is urgent or you require several items it is advisable to telephone the practice.

 

I

 

Please specify which surgery you

wish to collect from*

Forename or initials*

Surname*

House number or name*

Address*

Town*

County

Postcode*

Contact telephone number(s)*

Animal's name*

Exact name of medication/product*

Quantity

Drug strength, dose, etc.*

Please enter any other additional

information

E-mail

Type of animal, i.e. dog, cat,

rabbit, horse, etc.*

Wendover Heights Veterinary Centre is a trading name of WHVC Limited
 Registered in England and Wales No: 5786311
 Registered Office: Brook House, Widbrook Road, Maidenhead, Berkshire SL6 8HS