Online Pharmacy Waiver Form Online Pharmacy Waiver Why Shepherd of the Hills Veterinary Clinic pharmacy is the best choice for your pet. PRICE: Internet Pharmacies are not always the cheapest source for medication. Our prices are set specifically to be competitive and often times more affordable than online pharmacies for most items. In addition, some medications are temperature sensitive and require next day or 2nd day air delivery, which adds to the cost. REBATES: Our veterinary practice also passes on manufacturers’ promotions and/ or rebates and these frequently result in greater savings. These rebates are not usually available from online stores or catalogs. GUARANTEE: Pharmaceutical manufacturers will only honor product guarantees when the medications are prescribed by and purchased from the pet’s veterinarian. Internet and mail-order catalogs, do not qualify for these guarantees. SAFETY: Any prescription medication purchased from our hospital has been inspected and approved by the FDA, and manufactured and packaged according to U.S. government regulations. Medications purchased online may have been purchased outside the United States and may have different strengths and labeling than U.S. products. CONVENIENCE: When buying from our in-house pharmacy you can have meds same day. We have an online pharmacy for in home delivery. If you would still like to purchase your medication online please read and sign the following: Name * Name First First Last Last Phone * Email * Pet's Name * I hereby request a prescription for medications(s) for my pet so that I can purchase these products from an outside internet pharmacy not associated with this clinic. By signing this waiver, I acknowledge that I have been properly informed of the risks involved in doing so, and accept any and all responsibility, financial or otherwise, that may occur from this decision. I understand that this clinic will be held harmless from the use of products and/or prescriptions purchased from sources outside of the clinic’s monitoring and control. Please Check the box that you understand the following: There is no way for my veterinarian to know if the product has been stored properly while in transit, is out of date, repackaged or counterfeit when purchased from outside internet source. This has occurred in the past. For more information on this, visit the FDA website at www.fda.gov. I understand The prescribing instructions for products purchased from other sources may be different from those recommended by my veterinarian. This could result in improper dosing of my pet. * I understand Purchases from outside on-line pharmacies may not appear in my pet’s medical records provide by my veterinarian. This information may be important in the event that my pet needs additional medications and/or treatment from my veterinarian. * I understand Product warranties for prescriptions obtained from outside internet pharmacies may be different than the manufacturer’s normal warranties or potentially unavailable. It is understood that my veterinarian is unable to offer warranties for products of prescriptions obtained through outside sources. * I understand The prescription and/or its refills may not arrive in a timely fashion, thus potentially causing an interruption in treatment for my pet, which may result in the need for additional testing prior to the continued safe use of the product. I understand I have read and understood the above risks in using an outside internet pharmacy that is not associated with this veterinary clinic. I understand By signing your name in this field, you are agreeing to the terms and conditions listed in within this waiver. * signature keyboard Clear Date * Captcha Submit If you are human, leave this field blank.
