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Contact US at Heartland Vet Supply and Pharmacy

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The document is a prescription request form for Heartland Veterinary Pharmacy, intended for veterinarians to order medications for their patients. It includes sections for the veterinarian's and owner's information, patient details, medication specifics, and instructions for prescription submission. The form emphasizes the need for a valid veterinarian-client-patient relationship and provides options for faxing or verbally authorizing prescriptions.

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