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I hereby request a prescription for the medication(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 risk, and am aware that Strong Veterinary Hospital cannot accept any financial responsibility for paying for or reimbursing me for any treatments required because of the use of products purchased from these sources. In the absence of negligence, I agree to hold Strong Veterinary Hospital harmless for any deleterious effects or lack of effectiveness of prescription medication or prescription food purchased from any other source.
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