Tell us about yourself. We’re here to help!Please call us with any questions at 818-788-0635 or fill out the form below. Pet ParentsPrescriber Pet Parents Contact Prescription Pet ProfileFirst NameLast NameEmail AddressPhone NumberWhat state are you in?PreviousNextDrug name (ex: Metronidazole)Drug strength (ex: 15mg/mL)Dosage form (ex: suspension) Quantity (ex: 30mL)Where did you get your medication previously?Which veterinary practice do You go to?Additional info/other prescriptionsPreviousNextPet NameSpecies - Select -AvainCanineFelineFerretFishHorsePet's age (optional)WeightAdditional notesGender Male FemaleHow did you hear about us?- Select -Pet ParentVeterinarianVDCrx Employee I acknowledge that I have read and agree to the Privacy Policy. I consent to receive SMS text messages from vdcrx at the phone number provided. Message and data rates may apply. Reply STOP to unsubscribe. I agree to be contacted via phone or email in response to my inquiry. Previous Submit Form PrescriberFirst NameLast NamePractice NameJob titlePractice - Phone NumberEmail Address Practice - CityPractice - State/ProvinceHow Did you Here about Us?- Select -Pet ParentVeterinarianVDCrx EmployeeNotes I acknowledge that I have read and agree to the Privacy Policy. I consent to receive SMS text messages from vdcrx at the phone number provided. Message and data rates may apply. Reply STOP to unsubscribe. I agree to be contacted via phone or email in response to my inquiry.Submit
