Hanover Park Animal Care Center - Online Pharmacy Waiver

    I have requested that my veterinarian authorize a prescription for my pet rather than dispense medication from the veterinary clinic. I understand that any medications and/or products purchased from an online source may not be guaranteed by the manufacturer/s of the medications and/or products, as they may have been acquired through illegitimate means, transported or stored incorrectly, or may be counterfeit.

    I will not hold Hanover Park Animal Care Center or its veterinarians or staff liable for any medical problems that may occur as a result of my pet's use of medications or products purchased from any other source. This waiver is valid from the date below for your account, and only for pets listed below..

    *This waiver is not required for pharmacies such as Walgreens, CVS, Osco, Costco etc. It is also not required from our online pharmacy due to products coming directly from the manufacture.

    Entering the information below is the equivalent of your electronic signature.

    If the email address and phone number entered on the form do not match our records, it will not be considered a valid signature.