Medication Request Form - Addicus’ Legacy Dog Rescue

info@addicuslegacy.org

ADOPT

FOSTER

Our mission is to save Texas shelter dogs in high kill shelters and find them loving forever homes in Texas and New England.

Our Locations

Texas, USA
Connecticut, USA
info@addicuslegacy.org

Jki-facebook-light Jki-instagram-1-light Youtube Tiktok

Subscribe Newsletter

Home
Addicus
Our Dogs
Adopt
Donate
Volunteer
Foster
- Become A Foster
- Fosters Only
Resources
- Helpful Information
- Contact Us

Donate Now

Foster Handbook
Addicus Approved Vets
Foster Dog Intake Form
Medication Request Form
Medical Checklist for Adult Dogs Above 1 Year Old
Medical Checklist for Puppies Under 1 Year Old
Foster Dog Marketing Request Form
Photo Taking Tips
Transport Drop-off Instructions

Foster Dog Medication Request Form

Addicus’ Legacy Dog Rescue provides flea/tick and heartworm preventative and deworming medications for our foster dogs. However, you must get your medications directly from us. We cannot reimburse you for medication you purchase from a veterinarian. Please submit this form as soon as you get your new foster dog and the medication will be mailed to you as soon as possible.

Acknowledgement *

By checking this box, I understand that I am responsible for submitting this request form within 7 to 10 days of needing the next dose. We will not automatically send the medication on a monthly basis.

Acknowledgement *

I understand that every shelter is different in regards to what they give each dog, and that each dog could have different medication requirements depending on the shelter. By checking this box, I am agreeing that I will verify with the medical paperwork, if any exists, and if I have any questions, I will confirm with ALDR admin what my dog's medication needs are in advance of ordering.

Foster's Name *

*Mailing Address *

Address line 2

City *

State *

Zip *

Phone Number *

Pickup Preferred? *

Yes - I prefer to pick up the medication in Lakeway, Texas. We will contact you to coordinate pick-up time and location.
No - Please Mail

Email Address *

Dog's Name *

Dog's Approximate Age *

Dog's Approximate Weight *

*Medication Needed *

Dewormer (needed once for adult dogs, and multiple times for puppies)
HW Monthly Preventative (once per month)
Flea/Tick Monthly Preventative (once per month)
Doxycycline. (Please specify reason in the comment section)
Simparica (only for dogs and puppies with severe tick/flea issues affecting skin and fur)
Not sure, please specify your needs in the comments section below.

Additional Comments

About

Our mission is to save abandoned and neglected dogs from both shelters and off the streets, ultimately finding them their forever family in Texas and New England.

Social Media

Jki-facebook-light Jki-instagram-1-light Youtube Tiktok

Quick Links

Addicus
Our Dogs
Adopt
Foster

Subscribe to our Newsletter

Addicus’ Legacy Dog Rescue