Free Pet Drugs Online Prescription Template
Pet Drugs Online Prescription
I. Veterinarian Information
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Veterinarian Name: |
[YOUR NAME], DVM |
|---|---|
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Veterinary License Number: |
654123987 |
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Clinic Name: |
[YOUR COMPANY NAME] |
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Clinic Address: |
[YOUR COMPANY ADDRESS] |
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Clinic Phone: |
[YOUR COMPANY NUMBER] |
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Date of Prescription: |
October 8, 2055 |
II. Owner Information
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Owner Name: |
Isabelle Harris |
|---|---|
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Address: |
Oxnard, CA 93030 |
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Phone: |
222 555 7777 |
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Email: |
isabelle@you.mail |
III. Pet Information
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Pet Name: |
Max |
|---|---|
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Species: |
Canine |
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Breed: |
Golden Retriever |
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Age: |
5 years |
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Weight: |
65 lbs |
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Medical Record Number: |
12345678 |
IV. Drug Information
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Drug Name: |
Rimadyl (Carprofen) |
|---|---|
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Strength: |
75 mg |
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Dosage: |
1 tablet orally, twice daily |
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Refills Authorized: |
2 refills |
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Duration of Treatment: |
14 days |
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Special Instructions: |
Administer with food to reduce GI upset |
V. Warnings and Notes
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Side Effects: |
May cause vomiting, diarrhea, or lethargy. Contact your veterinarian if these symptoms persist. |
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Storage Instructions: |
Store at room temperature away from moisture and light. |
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Additional Notes: |
Do not exceed the prescribed dosage. Follow up appointment scheduled for October 22, 2055. |
VI. Signature
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Signature: |
|
|---|---|
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Date Signed: |
October 8, 2055 |
This online prescription is valid for veterinary use only and is authorized by the licensed veterinarian listed above.
