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 Prescriber Name(Required)Select Prescriber NameDr. Emily AndersenDr. Kristan RileyDr. Wendy CrouseDr. Heather MeyerPractice Name(Required) Prescriber Email(Required) License Number(Required) License State(Required) Phone Number(Required) Street Address(Required) City(Required) State(Required) Zip Code(Required) Signature(Required) Reset signature Signature locked. Reset to sign again January 21, 2025 8:12 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