Get Zoopharm Prescription Form

Filling out the Zoopharm Prescription Form online is a straightforward process that allows you to efficiently manage your pet's medication needs. This guide will provide you with clear and detailed instructions to ensure that you complete the form accurately and effectively.

Follow the steps to effectively fill out the Zoopharm Prescription Form.

1. Press the ‘Get Form’ button to obtain the prescription form and open it in the online editor.
2. Begin by entering the date in the specified field at the top of the form. Ensure the date format is correct.
3. In the 'Animal / Species' section, accurately specify the species of the animal that requires medication.
4. Fill in the 'Owner/Ship To' field with the name of the person who owns the animal or to whom the prescription should be sent.
5. In the 'Drug & Strength' section, list the name of the medication and its strength as prescribed by the veterinarian.
6. Indicate the 'Quantity' by entering the number of vials or units of the medication required.
7. Provide detailed 'Directions for Use' indicating how the medication should be administered, including dosage and timing.
8. If applicable, specify the number of 'Refills' authorized by the veterinarian for this prescription.
9. Repeat steps 5-8 for any additional medications needed by providing the drug name, strength, quantity, directions for use, and refills.
10. In the 'Veterinarian Address' section, enter the full address of the prescribing veterinarian’s clinic.
11. Fill in the 'Prescribing Veterinarian Name' field with the veterinarian’s name.
12. Provide the veterinarian's 'Telephone Number' for any follow-up communication.
13. Include the veterinarian's 'DEA License Number' in the designated field, necessary for controlled substances.
14. Ensure the form is completed with a signature in the provided section.
15. For all controlled substances, fax a copy of the veterinarian's current Controlled Substance Registration Certificate to the pharmacy for their records.
16. Once all information has been filled out correctly, save your changes, and choose to download, print, or share the form as needed.

Start filling out the Zoopharm Prescription Form online now to efficiently manage your pet's medication needs.