Prevention Request Form – Cryan Veterinary Hospital

Are you a current client with us?*

Unfortunately these products are only available to our current clients. Please contact our office to schedule an appointment if you would like to join our pet care family!

Client Name*

First Last

Phone*

Do you want to pick up your product at the clinic or do you prefer it be shipped to you?*

Shipping is free for orders over $50

Do you want to setup autoship for your prevention?*

Shipping Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Products Availalbe

Pet's Name*

*Please note, a form will need to be completed for each pet you are requesting prevention for.

Species*

Pet's Age*

Heartgard Plus

Heartgard Plus protects against heartworms, hookworms, roundworms, and other ascarids (types of intestinal parasites). *Please note, Heartgard offers a $15 rebate for the purchase of a 12 pack. The form will be provided with your purchase.

Sentinel

Protects against heartworms, hookworms, roundworms, whipworms, and flea populations. *Please note, Sentinel offers a $7 rebate for a 6 pack and a $25 rebate for a 12 pack. The form will be provided with your purchase.

Revolution Plus

Help protect your four-legged friend from pesky critters with this 6-in-1 broad spectrum monthly Topical Solution for Cats by Revolution Plus. Simply apply the quick-drying, small-volume prescription to help: kill fleas before they lay eggs, kill ticks for a full month, prevent heartworm disease and treat and control roundworms, hookworms and ear mites.

Revolution

Revolution kills adult fleas and prevents flea eggs from hatching for one month and is indicated for the prevention and control of flea infestations (Cteno cephalides felis), prevention of heartworm disease caused by Dirofilaria immitis, and the treatment and control of ear mite (Otodectes cynotis) infestations.

Bravecto (12 weeks of protection)

BRAVECTO Chew for Dogs kills fleas, prevents flea infestations, and kills ticks (black-legged tick, American dog tick, and brown dog tick) for 12 weeks. BRAVECTO Chew also kills lone star ticks for 8 weeks. *Please note, Bravecto offers a mail-in rebate of $10 for 2 doses and $25 for 4 doses.

Bravecto Plus

BRAVECTO Plus offers protection against fleas, ticks, and heartworm for 2 months, as well as treats roundworms, and hookworms. *Please note, Bravecto offers a mail-in rebate of $10 for 2 doses and $25 for 4 doses.

Bravecto (monthly)

BRAVECTO Chew for Dogs kills fleas, prevents flea infestations, and kills ticks (black-legged tick, American dog tick, and brown dog tick).

Frontline Gold

Helps kill adult fleas, flea eggs, flea larvae, chewing lice, and ticks.

Frontline Gold

Helps kill adult fleas, flea eggs, flea larvae, chewing lice, and ticks.

Total

$0.00

Please note, if your purchase is under $50, a shipping fee of $8 will be added.

Prevention Request

Products Availalbe

Cryan Veterinary Hospital

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