Pet Medication Membership
$15 per year

Once we receive this online form and the $15 yearly pet medication membership fee, you will receive your international pet medication ordering packet by return mail.  Simply sign the forms in the packet and return by fax or mail with a copy of your veterinarian prescriptions.

Immediate Coverage...When you need your pet medications soon, please call our office during regular business hours (M-Fri 8 a.m. - 4:30 p.m.) toll free (888) 380-6337.  Within minutes, the staff will complete your enrollment, enter your membership into the computer and start your enrollment.  Please have your credit card, a fax number and copies of your veterinary prescriptions when you call.

Pet Medication Information Form

Patient's Name:
Date:  Telephone #:
Street Address:
City, State, Zip:

List Names Of Needed Medications

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Your Email: