Flea/Tick & Heartworm Preventative Requests

We sell all our Heartworm, Flea, and Tick Preventative products at very competitive prices. They can be picked up at the clinic at your convenience or mailed at no cost.
Please fill in the following information and you will be contacted by one of our staff members within 24 hours .

Form - Flea/Tick&Heartworm Preventative

Name (required)
First Name (required)	Last Name (required)

Daytime Phone (required)
Phone Type	Phone Number (required)

Cell Phone
Phone Type	Phone Number

E-Mail Address :

Pet's Name (required)

Have we seen your pet with in the last year?
Yes
No (It is required by law for a veterinarian to have examined a patient within the previous 12 months to legally prescribe or dispense any prescription medications including heartworm preventatives.)

Please select the products you would like. (required)
IverHart Max (Once a month chewable Generic heartworm preventative)- Most Economical Choice
Heartgard Plus (Once a month chewable heartworm preventative)
Interceptor (Once a month chewable heartworm preventative)
Frontline (Once a month spot-on flea and tick preventative)
Preventic Collar (Tick collar 3 months of tick protection)
Revolution (Once a month Spot-on recommended for cats that go outdoor)

Additional Comments/Questions

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