Dr. Gaynor sees patients at Buffalo Mountain Animal Hospital
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Pain Management Protocol Generation Submission Form



Please be as complete as possible so we can generate the most appropriate Pain Management protocol possible

Owner name
Select Service
If YES, you do not need to fill out all the information, You can make any changes in the the comments box.
AVAILABLE ORAL NSAIDS
INJECTABLE NSAIDs
DO YOU HAVE AMANTIDINE TABLETS?
DO YOU HAVE AMANTIDINE CAPSULES?
AVAILABLE NUTRACEUTICALS
OTHER MODALITIES AVAILABLE OR BY REFERRAL
ARE YOU WILLING TO WRITE/CALL IN A RX TO AN OUTSIDE PHARMACY?
ARE YOU WILLING TO REFER YOUR CLIENT TO AN OUTSIDE SUPPLIER?
Thank you for trusting your patient's care to BlackDog VAS!
We have received your submission.
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NOTE: Protocols are generated using the history and details submitted and are advisory only. The consulting veterinarian has not examined the patient in person. The attending veterinarian is responsible for verifying the accuracy of submitted information, assessing the patient’s current clinical status, and making all final treatment and monitoring decisions.
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970-829-5979
PO BOX 2140 Breckenridge, CO 80424
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