I, the undersigned, being 18 years of age or older, am the owner or authorized representative of the owner of the patient described above, and am authorized to make decisions regarding its care.
I hereby acknowledge that my veterinarian or their representative, has advised me of and explained the following:
- There is a risk that prescription drugs acquired from these sources may
Be counterfeit with no active medical ingredients;
- contain the wrong ingredient;
- include additives dangerous to animals;
- be past their expiration date;
- be dispensed in improper dosage, and;
- be substituted for a different pharmaceutical product.
- Prescription drugs acquired from these sources may be transported and stored improperly, increasing the risk that the drug does not work, or causes an adverse effect.
- Online pharmacies may be domiciled in another province or country, and therefore be subject to variable standards regarding pharmaceutical regulations.
- Manufacturer warranties and/or guarantees may not be valid or honoured for prescription drugs acquired through these sources.
I have read or had explained to me, and fully understand, the information on this form, and declare that I understand and voluntarily consent to receive a prescription to be filled by an online and/or human pharmacy.