I hereby request a prescription for medication(s) for my pet(s) so that I can purchase these products from an outside online pharmacy. I have been informed that the above risks exist when I obtain these products from such sources.
I also accept the following guidelines:
- All state and federal prescribing laws apply, the same as if you purchased it here.
- It is your responsibility to ensure that the prescription is sent, filled, labelled, shipped, and used correctly. These services have a reputation for poor customer service, and we cannot expect to take the time to oversee their operations.
- We will not become involved in any product failure issues for products purchased through internet pharmacies. This includes heartworm, intestinal parasite, and flea prevention medications too.
I have read and understand the above, accept these risks, and am aware that this facility cannot accept any financial responsibility for paying for or reimbursing me for any treatments required as a result of the use of products purchased from these sources. In the absence of negligence, I agree to hold this veterinary practice harmless for any deleterious effects or lack of effectiveness of drugs purchased from any other source.
After signing this form we will provide you with either a written medication script OR sign a fax approved by the veterinarian as medically necessary.