Office Use Form Important Note: This service is NOT AVAILABLE in the following states: Alabama, Connecticut, New YorkFor controlled medications, please contact the pharmacy directly at (866) 784-6915 Step 1 of 2 - Medication Information 0% Medications Medications Strength Dosage Form Flavor Quantity Price Refills Actions Edit Delete There are no Medications. Add Medication Maximum number of medications reached. Comments Practice Name(Required) Prescriber Name(Required) Prescriber Email(Required) License Number(Required) State(Required)Select License StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingPhone Number(Required) Practice Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Sorry! At the moment, we are not shipping to your region.Signature(Required) Reset signature Signature locked. Reset to sign again January 2, 2025 12:23 am CSTConsent(Required) By checking this box, I am authorized to execute this order and understand that use of the product will be conducted in accordance with applicable law. I have also reviewed this information and approve this prescription on rxpetscript.com from PetScript ProLab Pharmacy. Need Office Use Meds? Shop Now PetScript Pharmacy 3020 Lamar Ave, Paris, TX, 75460 Phone: 866-784-6915 | Fax: 903-785-1357 Email: [email protected] Privacy Policy | Disclaimer