New Clients — Mountain Animal Hospital

2024 Parasite Prevention Order Form

** This form is for existing clients only. Your pet must have been seen within the last 12 months in order to receive prescription medications. ** If you have multiple pets, please fill out a separate form for each pet or email us your order to office@mountainanimalhospital.ca

Name

First Name

Last Name

Your daytime phone number

Your pet's name

I would like the same medications my pet received last year

If YES, ignore the options below. If NO, please select from options below.

Yes

No (or not applicable)

All-in-one medications for dogs

This medication protects from fleas, ticks, heartworm, and intestinal worms

Nexgard Spectra - monthly chewable tablet - 4Dx heartworm blood test is required

Tick medications for dogs

These medications protect from fleas and ticks ONLY

Nexgard - monthly chewable tablet

Bravecto oral - 3 month chewable tablet

Bravecto topical - 3 month topical treatment

Advantix - monthly topical treatment

Heartworm medications for dogs

These medications protect froom heartworm and intestinal worms ONLY

Interceptor Plus - monthly chewable tablet - 4Dx heartworm blood test is required

Advantage Multi - monthly topical treatment