18 Bradshaw Crescent, Manning, Perth

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- FAQs

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Medication Request

Medication Requestadmin2026-03-11T09:35:43+08:00

Your Information

First Name(Required)

Last Name(Required)

Your Email(Required)

Phone number(Required)

Postal Address(Required)

City(Required)

State(Required)

Post Code(Required)

Country(Required)

Pet Information

Pet's name(Required)

Approximate Date of Your pet's last Veterinary Check up?(Required)

Pet's Species(Required)

Cat

Dog

Other

If other:

Medication 1

Please note: We are unable to send digital scripts as they are not legally permitted from veterinarians, your script will be posted to the address provided in this form.

Please indicate what you require(Required)

Written script

Refill medication

Which eye is affected?

Left

Right

Both

Medication 1

Frequency of use (eg. once daily)(Required)

Medication 2

Please note: We are unable to send digital scripts as they are not legally permitted from veterinarians, your script will be posted to the address provided in this form.

Please indicate what you require

Written script

Refill medication

Which eye is affected?

Left

Right

Both

Medication 2

Frequency of use (eg. once daily)

Medication 3

Please note: We are unable to send digital scripts as they are not legally permitted from veterinarians, your script will be posted to the address provided in this form.

Please indicate what you require

Written script

Refill medication

Which eye is affected?

Left

Right

Both

Medication 3

Frequency of use (eg. once daily)

Another Medication Request

Medication 4

Please note: We are unable to send digital scripts as they are not legally permitted from veterinarians, your script will be posted to the address provided in this form.

Please indicate what you require

Written script

Refill medication

Which eye is affected?

Left

Right

Both

Medication 4

Frequency of use (eg. once daily)

Do you have any concerns about your pet since your last visit or questions for the vet. If so please write them below

Is there any other information that we need to know about?

Delivery/ Pick up Information

Please select your preference(Required)

I want to collect the medications/script from Perth Animal Eye Hospital.

I would like the medications/script to be posted to me. (Please confirm address on the form)

Select Clinic

Please double check when we will next visit that clinic to make sure your pet has the medication when it is needed.

A veterinarian will review your request. If approved a nurse will contact you by phone to let you know when it will be ready and to take payment.

Charge for non urgent scripts (including postage of script) - $33
Charge for actual medications (if supplied) – Please contact the clinic
Charge for medication postage - $19 (legally scheduled medications must be trackable when posting) - this does not include the cost of the medications.

I understand and agree to the costs outlined above.

Would you like to save this information for future use?

Yes

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Perth Animal Eye Hospital

Our practice is committed to excellence in all aspects of veterinary eye care, providing a world class referral service to vets, their clients and pets. We believe in a professional client relationship built on a foundation of compassion, trust, quality of service, affordability, availability and communication.

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Contact

(08) 6110 1616
reception@pertheyevet.com.au
18 Bradshaw Crescent, Manning, Perth, WA 6152

Specialist Hours

Monday – Friday:
8:00 AM – 6:00 PM