Vet Supplies, TOLL FREE 1 (800) 465-7122, Dominion Veterinary Laboratories, Canada, United States, International.
 
1 (800) 465-7122
Pharm-Vet
When performance counts,
keep your horse
healthy the
Pharm-Vet way!

© Copyright 2005 Dominion Veterinary Laboratories Ltd. All Rights Reserved.
1199 Sanford Street
Winnipeg, MB R3E 3A1
Canada
Phone: (204) 589-7361
Fax: (204) 943- 9612



Citron-Night-Spray-Questions - D.V.L. Questions for Patients, Q.F.P. #40 Thank you for filling out our patient form. If you need more samples or information, please contact us. Phone: 204-589-7361 Fax: 204-943-9612 Mailing Address: 1199 Sanford Street Winnipeg, Manitoba, R3E-3A1, Canada.

*Full Name:
*Email:
Phone: ( ) -
Address:
City:
State/Province:
Zip/Postal Code
Country:
Please provide name and location of attending physician/dermatologist:
 
What type of skin condition do you and/or your family member(s) have:
 
When did you begin to notice your skin condition:
 
What areas on your body do you have the skin condition:
 
When does your skin condition flare up:
 
When do you use Ciron Night Spray:
 
After using Ciron Night Spray when did you notice the dryness go away:
 
After using Ciron Night Spray when did you notice the itching go away:
 
How long did it take for the rough texture of the affected area to go away:
 
What other products have you tried in the past to cure your skin condition:
 
What if any difference is there between Ciron Night Spray and the rest:
 
How has Ciron Night Spray affected you and/or your family member(s) quality of life:
 
Comments:
 
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