info@highlandsveterinaryhospital.com.au
(02) 4872 1144
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Prescription Refill Form
Client Name:
First Name:
Last Name:
Email:
Mobile:
Pet's Name:
Medication Requested:
Dose Rate – Please be sure to include strength, frequency, amount:
eg. 20mg half tablet, once a day
Please describe the patient’s current status compared to their most recent visit with us:
Date of Client Pickup:
Time of Client Pickup:
Prescription refills are available to current patients and clients of HIGHlands covered by existing prescriptions. Refills will be unable to be supplied if a revisit is required, we will contact you to advise if your pet is overdue for a visit.
Email Address
HIGHlands Locations We Serve
Braemar
Mittagong
Colo Vale
Alpine
Aylmerton
Renwick
Welby
Bowral
Moss Vale
Hill Top
Yerrinbool
Burradoo
Berrima
Contact Details
66 Old Hume Hwy
Braemar NSW 2575, Australia
(02) 4872 1144
info@highlandsveterinaryhospital.com.au
Hours
Mon - Fri: 8:15 am to 5:00 pm
Sat: 8:15 am to 12:00 pm
Sun: Closed
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