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Veterinary Internet Pharmacy Waiver Form in Aurora, CO

Please complete the form below if you are requesting a prescription to be filled through an internet pharmacy or third-party catalog vendor not affiliated with Seven Hills Veterinary Hospital.

This waiver acknowledges the potential risks associated with purchasing medications from outside vendors and confirms your understanding of those risks before prescriptions are approved.

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Important Information

Before submitting this form, please review the following:

  • Product quality and sourcing may vary between vendors
  • Some medications may not be FDA or EPA approved
  • Shipping delays could impact treatment timing
  • Manufacturer guarantees or rebates may not apply to outside purchases

If you have questions about your pet’s prescription, medications, or pharmacy options, our team is happy to help.

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Prescription Requests

To help avoid delays, please complete all required information carefully and submit one form per pet.

Our veterinary team may contact you if additional information is needed before approving your prescription request.

Need Immediate Assistance?

If your pet is experiencing a medical emergency or urgent health concern, please contact our hospital directly instead of submitting this form online.

Our emergency and urgent care team is available to assist pets when immediate medical attention is needed.

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Complete the Internet Pharmacy Waiver Form

I hereby request a prescription for medication so I can purchase this product from an internet pharmacy or catalog vendor not associated with Seven Hills Veterinary Hospital. 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 Seven Hills Veterinary Hospital and its associated staff will be held harmless from the use of products and/or prescriptions purchased from sources outside of the hospital’s monitoring and control.

  1. There is the possibility that the prescription 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 has occurred in the past and could recur. There is information about this topic on the FDA’s website at www.fda.gov, and search “Internet Pharmacies” in the FDA search bar.
  2. You may not have the prescription drugs available soon enough to start your pet’s medications at the optimal time to provide relief for their condition.
  3. Manufacturer rebates that would ordinarily be available for products purchased from us are not available.
  4. Manufacturers' warranties or guarantees for these products are not valid with internet or catalog prescriptions. This means if your pet’s condition is not effectively treated with the product, the product manufacturers may not stand behind their products or product liability procedures.
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