Hypothyroidism Waiver

I hereby decline the blood work my veterinarian has recommended every 6 months in order to maintain my animal on prescription medication. I understand the medication my animal is taking may have harmful side effects after prolonged use. I understand the blood work recommended would alert me to any of those harmful side effects before the medication did any permanent damage.

Medication: Thyro Tabs

Recommended every 6 MONTHS

Risks associated with medication: When administered at the appropriate dose, this medication has no known risks. This blood work allows the veterinarian to identify any adjustments that need to be made with this medication to avoid over-supplementation or under-dosing.

Discernable adverse effects: weight loss and hyperactivity are signs of over-supplementation.

I am aware of the consequences by not performing this blood work. My veterinarian or representative has spoken with me at length about these risks and has answered al of my questions regarding my pet’s condition and the medication. I will make my veterinarian aware if any of these adverse effects occur and understand that blood work may need to be done at that time.

Hypothyroidism Waiver
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