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Sample

Veterinary Feed Directive

 


Client________________Veterinarian________________
Address________________Address________________
 ________________ ________________
 ________________ ________________
Phone________________Phone________________


Animals to be treated (number and location):


VFD Drug: HEALWELL®
(anyglycoside)
Mixing Directions: (See reverse for additional mixing information)
Mix into Type C Medicated Feed to provide:
Check only one)
200
Box
300
Box
400
Box
g/ton


Warning: Feeds containing anyglycoside must be withdrawn 9 days prior to slaughter.
Feeding instructions:   Feed continuously as the sole ration for 21 days beginning with onset of symptoms.                                                                                                    
                                                                                                                                 
                                                                                                                                 
Special Instructions:  
                                                                                                                                 
                                                                                                                                 


Expiration Date:                         
Month/Day/Year
Total amount of Type C feed to be received under this VFD:                 tons


Veterinarian's Signature:                         Date:                         
License Number:                         State:                         


The VFD drug will be obtained from:  
                                                                                                                                 
                                                                                                                                 


See reverse side for important product information.
HEALWELL® is the registered trademark of Know Animal Health.

 

American Veterinary Medical Association
Copyright © 2009