online waiver


Online Waiver

  • Waiver of Responsibility and Liability for Prescriptions and Products Filled by Outside Internet Pharmacies or Catalog Vendors Not Associated with This Hospital
  • I hereby request a prescription for medication(s) for my pet so that I can purchase these products from an outside, internet pharmacy or catalog vendor not associated with this clinic. By signing this waiver, I acknowledge that I have read our Internet Prescription Policy and have been properly informed of the risks involved in doing so, and accept any and all responsibility, financial or otherwise, that may occur form this decision. I understand that Animal Health and Medical Center 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. Risks Involved in Purchasing Pharmaceuticals or Other Products for My Pet from Internet Pharmacies or Catalog Vendors May Include and Are Not Limited To:

    1. There is no way for my veterinarian to know if the product has been stored properly while in transit, is out of date, repackaged or counterfeit when purchased from outside internet sources. This is a valid concern as it has occurred in the past and is likely to recur at any time. For more information on this, visit the FDA website at www.fda.gov.

    2. 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.

    3. Purchases from outside online pharmacies may not appear in my pet’s medical records provided by my veterinarian. This information may be important in the event that my pet needs additional medications and/or treatment from my veterinarian.

    4. 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.

    5. 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.

    6. Manufacturer rebates that would ordinarily be available for products purchased from this facility will not be honored when purchased from online pharmacies or catalog vendors.

    7. Vaccines purchased through internet pharmacies or catalog vendors may not be accepted as valid by kennels, airlines, licensing agencies, or veterinary practices.

    By entering my information below I attest I have read and understand the above risks in using an outside internet pharmacy or catalog vendor that is not associated with this veterinary hospital.

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