Vaccine, Parasiticide and Supply Pre-Order Form
BOVINE
Name
First Name
Last Name
Date Ordered
*
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Month
-
Day
Year
Date Picker Icon
Please select a location for pick up
Bear Creek Animal Clinic (Grande Prairie)
West County Animal Clinic (Beaverlodge)
BOVISHIELD GOLD FP5
Cow/Bull Vaccine (Modified Live) - Pre-Breeding
How many of each bottle?
VIBRIN
Prevention of vibriosis
How many of each bottle?
CATTLEMASTER GOLD FP5
Cow/Bull Vaccine - Bred or Unknown History
How many of each bottle?
ULTRACHOICE 8
Cow Blackleg Vaccine (Clostridial)
How many of each bottle?
FUSOGARD
Footrot prevention in Cows/Calves/Bulls (Recommended for breeding bulls)
How many of each bottle?
SCOUR BOS 9
Pregnant cows for prevention of scours in calves
How many of each bottle?
SCOUR BOS 4
Booster vaccine for pregnant cows after receiving Scour Bos 9
How many of each bottle?
SCOURGUARD 4KC
Scour Vaccine
How many of each bottle?
BOVISHIELD GOLD ONE SHOT
Calf Vaccine (Modified Live)
How many of each bottle?
ULTRABAC 7/SOMUBAC
Calf Vaccine
How many of each bottle?
COVEXIN PLUS
Cows/Calves
How many of each bottle?
TASVAX 8
For Cows/Calves/Bulls (Recommended prior to castration)
PINKEYE SHIELD XT4
For Cows/Calves/Bulls
How many of each bottle?
Parasiticides: BOVIMECTIN
Please type in your request for supplies that are not included in the list above
CLINIC USE
(To be filled out by staff)
Order prepared by:
First Name
Date:
Date
Order received by:
Signature
Date:
Date
Please include the best phone number to reach you at so a technician can contact you
Phone number
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