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Prescription Waiver Form

Let it be known that I am taking full responsibility for the health of my pet and choose to go through an internet pharmacy for the scripted medication listed above. I understand that Animal House of Chicago, Complete Veterinary Care, Inc. and the manufacturer are not responsible, no liable, for the condition of the product nor any adverse effects as a result of the products ordered or product failure.

As licensed Veterinary Professionals, we are required to obtain proof that a pharmacy has an active Illinois Pharmacy License before we can approve their prescriptions. Our Doctors are not licensed in other states, so we can only write prescriptions deliverable in Illinois.