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Waiver of Responsibility and Liability for Prescriptions to be Filled by Internet Pharmacies or Catalog Vendors
I hereby request a prescription for the medication(s) or vaccination(s) for my pet so that I can purchase these products from an internet pharmacy or catalog vendor. I have been informed that the following risks exist when I obtain these products from such sources
I have read and understand the above, accept these risks, and am aware that this facility cannot accept any financial responsibility for paying for or reimbursing me for any treatments required as a reult of the use of products purchased from these sources. In the absence of negligence, I agree to hold this veterinary practice harmless for any deletarious effects or lack of effectiveness of drugs or vaccines purchased from any other source.
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