Tri-Heart® Plus - Reminder Service

E-mail Reminder Form

Today's hectic lifestyles make it hard to remember the monthly dose of Tri-Heart^® Plus your dog requires to stay healthy.

This convenient, free e-mail reminder service will automatically send you an email every 30 days to remind you to give your dog his dose of Tri-Heart^® Plus. You can discontinue the service at any time by responding to the email you receive.

Please take a few minutes to fill in the form, and let the reminders begin!

^* Indicates information is mandatory
^* First Name:
^* Last Name:
^* E-mail Address:
^* Confirm E-mail Address:
Street:
City:
^* State:	^* Zip Code:
Phone Number:	- -
Your Veterinary Clinic/Hospital Name:
Your Veterinarian's Name:

Your Dog's Name:

Which Tri-Heart^® Plus dosage strengths are you using:
Tri-Heart^® Plus Blue for Small Dog (up to 25 lbs)
Tri-Heart^® Plus Green for Medium Dog (26-50 lbs)
Tri-Heart^® Plus Brown for Large Dog (51-100 lbs)

Date last dose was given:

(Click on the calendar icon to select a date)

Number of doses remaining:

Yes, I want to receive other e-mail information from Intervet/Schering-Plough Animal Health about its products and promotions.

By submitting this, I consent to Intervet/Schering-Plough Animal Health sending me e-mail reminders.
The information collected above is kept confidential and is never sold or leased to any third parties. It is used only to provide you with services, information, and products that you request from us.