Parasite Prevention Order Form

For our clients with a medical file at Accès Vet Blainville AND whose pet has been examined by one of our veterinarians in the last 12 months.

*If your pet has not been examined by one of our veterinarians in the last 12 months, a member of our team will contact you to offer you an appointment for a veterinary consultation.

Please select the situation that applies to your pet *

My pet has a file with you and has been examined by one of your veterinarians in the last 12 months
My pet does not have a file with you, contact me to make a veterinary appointment
My pet does not have a file with you, however I have an external prescription provided by my treating veterinarian

Pet's Name *

Name of owner on file *

Telephone number on file *

Email address *

Number of doses requested *

Date you plan to visit the clinic *

*Please wait for a call from a member of our team who will advise you when your order is ready before traveling.

Security Question *

I HAVE READ AND UNDERSTOOD THE PRIVACY POLICY *

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Parasite Prevention Order Form

Parasite Prevention Order Form

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