Patient Information


Species: Feline (Cat)


Patient's Name

Patient's DOB

v

Patient's Gender

v

Client's Last Name

Client's Phone

Client's Email

(Not required but recommended)

Text or Email Authorization

Fulfilment team is authorized to text or email the client for the purposes of filling this prescripiton.

Client's Full Street Address

Client's City

Client's State

v

Client's ZIP

Patient's Allergies

Prescription Details

Try the dosing calculator:


You can now choose between tablet and liquid form!

BOVA GS-441524 Quad Tablet Tuna flavor 50 mg

Directions - Part 1

Every:

GS-441524 ALMOND OILTuna Flavor 50 mg/ml

Directions - Part 1

Every:

The following instructions will be added to all FIP prescriptions

"Cat's weight must be checked weekly. If increased, contact the vet for a potential dose adjustment."


Quantity:

+
-

Refills:

+
-

Days Supply:

+
-

Doctor Details


Doctor's First Name

Doctor's Last Name

State License Number

DEA Number (Optional)

Facility's Name

Facility's Phone

Facility's Fax (Optional)

Facility's Full Street Address

City

State

v

ZIP

Facility's Email (Optional)
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