Home
About Us
Health Care
Forms
Animal Alerts
Links
Classifieds
Contact Us
Prescription Release
Search:
Contact Information:
First Name:
Last Name:
Email:
Phone:
Animal Name:
Drug Name:
I certify that I am the owner or agent for the owner of the above named animal. I understand that a drug named , which has been approved by the Food and Drug Administration, will be used under the direction of one or more of the doctors at Redmond Veterinary Clinic.
I understand that most drugs carry with them the risk of undesirable side effects. The drug being prescribed in this situation has been used safely and effectively to treat this condition in many other animals. However,
a small percentage of patients can experience serious adverse effects from its use up to and including death.
The most common and/or serious adverse effects include those checked below:
Liver Failure
Kidney Failure
Vomiting
Diarrhea
Suppression of the Immune System
Inflammation or irritation of the urinary bladder
Urinary incontinence (loss of bladder control)
Anorexia (loss of appetite)
Blood dyscrasias (change in white or red blood cells)
Sudden Death
High blood pressure
Heartworm Disease and Heart Failure
Other
I acknowledge that
I have declined the requested laboratory work and/or examinations
for my pet and I give my informed consent for the administration of this drug to my pet and personally
accept both legal and financial responsibility
for the use of such drug.
Please select one:
I
decline
the request by my doctor to perform testing
I would like my doctor to contact me first
Doctor in charge of care
Select Doctor
Dr. Curt Nitschelm
Dr. Shawn Clark
Dr. Darrin Kelly
Dr. Joe Roberts
Dr. Cassee Terry
Thank you for allowing us to Provide Uncompromised Care to Those Providing Unconditional Love.
Redmond Veterinary Clinic 1785 N. Hwy 97 Redmond, OR 97756 (541) 548-1048 Fax (541)548-2323
e-mail us
|
site map
|
Employees Only
Content Management System provided by