Medication & Advocate Refill Request

Medication & Advocate Refill Request

(For Kemps Creek Foster Carers only) Please allow 48 hours for medication to be dispensed.
Animal type*

Cat/kittenDog/puppyRabbit/guinea pig
Animal name & ID*

Animal NameAnimal ID (check email sent to you when you initially fostered the animal)
Do you need Advocate or Revolution?*

Yes - I only need Advocate (cats/dogs) or Revolution (pocket pets)Yes - I need Advocate/Revolution and other medicationNo
Medication requested*
Hyperthyroidism medication, Prednisone, Lovan (Fluoxetine), heart and epilepsy medication CANNOT miss doses. If I have less than 12 days left of one of a medication that cannot be skipped, I will collect from the Kemps Creek vet clinic to ensure no doses are missed.*

I agree
Do you live within 30km of the Kemps Creek vet clinic?*

YesNo
Medication collection*

I will collect from Kemps Creek vet clinic in 2-5 days time between 8am-6pm on a weekday or 9am-4pm on a weekend. I don't need to call in advance. If medication (excluding Advocate) will run out within 48 hours, I will call the clinic now.
How do you want to get the medication?*

Please send in the mailI will collect from Kemps Creek vet clinic in 2-5 days time between 8am-6pm on a weekday or 9am-4pm on a weekend. I don't need to call in advance. If medication (excluding Advocate) will run out within 48 hours, I will call the clinic now.
Your Name*

First NameLast Name
Additional notes or questions
Who is your Foster Care Officer?*

BrandonApril/EmmaNicolaTayla
Your Details

This is where we'll send the medication
Address*

Street Address

Street Address Line 2

SuburbState / Province

Postcode
Phone no.*
I agree and consent to my information being collected and used in accordance with the Privacy Policy on www.awlnsw.com.au/privacy*

I agree
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Medication & Advocate Refill Request

Your Details