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877-673-3705
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Call Us 877-673-3705
  • Home
  • Prescription Medicines
  • Medication by Therapy
    • Anticonvulsants
    • Antivirals
    • Behavioral
    • Cushing’s Disease
    • Diabetes Mellitus
    • Glaucoma
    • Liver Disease
    • KCS
    • Nutraceuticals
    • Oncology
    • Urinary Incontinence
  • OTC Medicines
  • About Us
    • Profile
    • Management Team
  • Testimonials
  • Contact
Home > Veterinarian Registration
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Veterinarian Registration

Business Contact Information

Owner First Name
Owner Last Name
Title
Ordering Contact
Position
Clinic Name
Email
(This will be your Username)
Phone
-
-
Fax
(Optional)
-
-
Address
City
State
Zip Code
Password
Confirm Password
Monthly Statement Settings
 
Name

(As appears on the credit card)
Expiration date
CVV (What's this)
Credit card number
Billing Address
City
State
Please send me updates about
IN-CLINIC USE AGREEMENT

If you have any questions or concerns, please contact our pharmacist-in-charge for more information.

This agreement states that any compounded preparation (prescription drugs) sold for in-clinic may only be administered to the patient and may not be dispensed to the patient or sold to any other person or entity except patients in the veterinarian's office, or on the patient's premises. The prescription drugs are only used to meet the needs of the veterinarian's patient. The veterinarians must also comply with laws relating to the practice of veterinary medicine and all state and federal laws relating to prescription drugs.

You, the veterinarian must include on a patient's chart, medication order, or medication administration record the lot number and beyond-use date of a compounded preparation administered to the patient.

All patients must be told that all adverse reactions should be reported to our pharmacist.

In the event of a recall for a compounded preparation the veterinarian must assist in notifying the patients with information about the recall.

Prescribing Doctor's Information

Doctor's First Name
Doctor's Last Name
License No.
Email
(Optional)
Signature
(Optional)
(This signature will be used only for authorization of your patient prescription. We will not share/sell this information anywhere.)
Custom Signature
 
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Questions? Toll Free: 877.673.3705 | Email: info@svpmeds.com
Specialty Veterinary Compounding Pharmacy, 4159 Bluebonnet Dr, Stafford, Texas 77477
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Billing / Shipping Option
Please select Billing / Shipping option.
Note: In case you choose 'Bill Owner / Ship Owner' then special discount on medicines offered to veterinarians will not apply to your order.
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