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Formulaire de renouvellement de médicaments - Drug renewal form
Clinique Vétérinaire du Vieux-Montréal - https://cvdvm.com
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Email
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Your email
Nom, Prénom du propriétaire / Last name, First name of the owner
*
Your answer
Nom de l'animal / Animal name
*
Your answer
Médicament à renouveler / Drug to renew
*
Your answer
Raison du renouvellement/Reason of renewal
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Your answer
Si problème cutané ou visible, nous envoyer des photos par courriel/If cutaneous or visible problem, send us pictures by email:
reception@cvdm.com
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Nombre de jours du traitement / Number of treatment days
*
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Dosage actuel du médicament / Current dosage of the drug
*
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Numéro de téléphone / Phone number
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