POM-VPS / NFA-VPS POM-VPS Medicines If you require POM-VPS or NFA-VPS products please complete the form below and submit it before or after ordering. This will help your order be shipped quicker. Please enable JavaScript in your browser to complete this form.What is the species being treated? *Cattle – BeefCattle – DairySheepOther (please fill in)If you selected 'Other', please specify what speciesFlock/Herd/CPH Number *How many animals are being treated? *What are the approximate weight (kg) / size of the animals to be treated? *Have any of the animals to be treated had an adverse reaction? *If you replied 'Yes' to the question above, please note product & type of reactionWhat product was used last to treat this condition? *Dosage per animal? (in ml) *Please indicate the dosage per animal you plan to use.Reason for selection of this product / active *Why did you pick this product above others.Are you confident to be administering this product? *YesNoWill you follow the manufacturer's instructions? *YesNoAre all the animals kept at the order delivery address? *YesNoIf you replied 'No' to the question above, please give address where animals are keptName *FirstLastPhone / Contact number *Email *Some Questions are required by the Veterinary Medicines Directorate by ticking below, I certify all information is true and correct to the best of my knowledge. *AgreeDo not agreeSubmit We will check your form and contact you for more information should it be required.