Pet Health Store Waiver

Fill out our pet health store waiver from any mobile device! Use the button below to get started.

Bernalillo Pet Care Center Health Store Waiver

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Name *

First

Last

Email *

I hereby request a medication(s) for my pet so that I can purchase these products from an internet pet health store or catalog vendor. I have been informed that the following risks exist when I obtain these products from such sources. *

I have read and understood the above statement.

1) There is the possibility that the medication drugs received from these vendors may be counterfeit and may not have been approved by the FDA and pesticides may not have been approved by the EPA. This occurred in the past and could recur. *

I have read and understood the above statement.

2) As the provider of your pet’s care, our medical records keep track of all drugs dispensed to us to you. When you purchase your medications elsewhere, our computer tracking system is not activated to print instructions for use or risk of adverse effects or to send reminders for follow-up exam and/or lab tests that may be needed to monitor results or adverse reactions.

I have read and understood the above statement.

3) You may not have the medication drug(s) available soon enough to start your pet’s medications at the optimal time to provide relief for his/her condition.

I have read and understood the above statement.

4) When medication products are purchased elsewhere, our staff members are unavailable to teach you how to administer them.

I have read and understood the above statement.

5) The number of tablets or capsules, milligram size of the unit, volume and or concentration of liquid, and number of authorized refills may differ from that prescribed by the attending doctor.

I have read and understood the above statement.

6) Manufacturer rebates that would ordinarily be available for products purchased from this facility generally will not be available.

I have read and understood the above statement.

7) The manufacturer’s warranties or guarantees for these products may not be valid. This means if your pet’s condition is not effectively treated with the product(s), manufacturers may not stand behind their products or product liability procedures. Additionally, the owners of and doctors at this facility will be unable to assist you in claims against those manufacturers

I have read and understood the above statement.

fill out our form today!

Pet Health Store Waiver

Bernalillo Pet Care Center Health Store Waiver

Ready to visit us?

Have a question?

Address

Hours

Contact