FLUBENVET PRESCRIPTION FORM

DISCLAIMER

By clicking the ‘Yes’ button below and sending the above form, I am agreeing that:

* I will be using this product for its intended purpose and will use it as per the manufacturers instructions. I am aware that this product is dispensed for domestic poultry.
* Eggs produced from the poultry being treated are for domestic use in the household named above.
* I am fully aware there is a 7 day withdrawal period for poultry intended for slaughter but no withdrawal period for eggs for human consumption.
* I am aware that if I am ordering layers pellets pre-medicated with Flubenvet they are manufactured with a short use by date. Treatment may need to be started within a few days of receipt in order to use them within date.

REGISTERED PREMISES DISPENSING POM-VPS MEDICINE: Newland Poultry, Newland Grange, Stocks Lane, Newland, Malvern, Worcestershire. WR13 5AZ

VMD premises registration No: 2030211 ~ AMTRA A-SQP QA2002

Telephone: 01684 216257 Mobile: 07830 176254
www.newlandpoultry.com ~ mail@newlandpoultry.com