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Dr Duncan HoustonDr Duncan HoustonWritten by a practising veterinarian

Veterinary Drug Prescription Form

A free fillable veterinary prescription form. Type in the details, sign on screen, then print it or save it as a PDF for the client. Patient and owner details are never stored or sent anywhere.

Prescription

Prescription Details

Client

Client's Details

Patient

Patient's Details

Medications

Medications

Medication 1

Prescriber

Prescribing Veterinarian

Veterinarian signature
Pharmacies

Where to Order Prescriptions Online

Registered online pet pharmacies that dispense against a written veterinary prescription:

Preview

Veterinary Drug Prescription Form

Live preview · prints exactly like this

Veterinary Drug Prescription Form

Prescription Details

Date

Client's Details

Name
Phone
Address
Email

Patient's Details

Name
Species
Breed / colour
Gender
Weight (kg)
Age

Medications

NameStrengthQuantityRepeatsDirections

Prescribing Veterinarian

Veterinarian name
Registration number
Practice name and address
Phone
Email
Date signed

Veterinarian signature

Where to Order Prescriptions Online

Registered online pet pharmacies that dispense against a written veterinary prescription:

  • Petscript — petscript.com.au
  • The Animal Pharmacy — theanimalpharmacy.com.au
  • Petceutics — petceutics.com.au
  • Pet Chemist — petchemist.com.au
Built by Dr Duncan Houston for Ask A Vet · askavet.com

Nothing typed into this form is sent to or stored by askavet.com. All data stays in your browser and leaves only in the PDF or printout you create. Prescriptions must comply with the prescribing and record-keeping rules of your veterinary registration and your state or territory. The prescribing veterinarian is responsible for the content of the script.

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Dr Duncan Houston
About the author

Dr Duncan Houston · BVSc, Veterinarian

Emergency careGeneral practiceMobile vet careFounder, ASK A VET™

Dr Duncan Houston is an Australian veterinarian with experience in emergency, general-practice and mobile veterinary care. He is the founder of ASK A VET™. This guide is educational and is not a substitute for hands-on veterinary care.