Prestige 5, 1 dose syringe

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Pet Name: *  (Letters and numbers only, no special characters.)
Owner Name: * 

Type of Pet: * --Pet Type-- Dog Cat Bird (Caged) Fish (Aquarium) Fish (Pond) Reptile Ferret Small Animal Horse Farm Animal Breed: * First Select Type of Pet Other 

Gender: *   Male   Female      Birthday: *  Weight (lbs): * 
 No  Yes - Is your pet Neutered or Spayed? *
 No  Yes - Is your pet pregnant? *
 No  Yes - Has your pet had an allergic or other reaction to any medications? * (put in comments)
 No  Yes - Is your pet taking any medications not purchased through us? * (including OTC and herbal)
 No  Yes - Does your pet have any medical conditions? *

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Veterinarian Information

Our customer service department will contact your vet/clinic for the necessary prescription.

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