Pet Drugs Online Prescription
I. Veterinarian Information
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 |
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II. Owner Information
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 |
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III. Pet Information
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 |
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IV. Drug Information
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 |
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V. Warnings and Notes
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. |
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VI. Signature
Signature: | 
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Date Signed: | October 8, 2055 |
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This online prescription is valid for veterinary use only and is authorized by the licensed veterinarian listed above.
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