Create New Provider ID (must be 8 characters) *
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Check availability
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Patterson Account *
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Acct #
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Practice Name *
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Preferred Payment *
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Legal Business Name *
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VetSource Home Delivery*
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Acct #
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Business Owner Name *
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Address *
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Doctor Name *
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City *
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Contact Name *
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State *
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Zip *
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Contact Name Job Type
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County *
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Licensed Practitioner Name
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Phone *
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Patterson Representative Name
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Fax
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Type of Business *
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Email *
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Practice Type *
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Website
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Software Management System *
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Yes, we plan to integrate EquiHealth on our website.
Yes, we would like to send postal reminders.
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Select Subscription Level * (
Details
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* This bundle includes VetSuccess at $159
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Hospital Facebook Link
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I would like to allow SMS Messages to be sent to the phone number listed above
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Shipping Address (if different from above)
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Shipping State
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Shipping Zip
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Shipping City
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Shipping County
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Comments
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Initial Here
I agree to allow Patterson to invoice my Patterson account each month, for the next 12 months, at the service level rate I have subscribed to.
I understand that I will remain responsible for paying the fees applicable to a product for the entire 12 month period, even if I cancel my subscription with respect to such product early.
I further understand that should I cancel my subscription to a product early, as to any products that I continue to subscribe to, I will lose any discount received for bundling products.
As a result, my monthly rate will change to reflect my updated subscription service level.
I further understand that 12 months from today my subscription will automatically renew, on a month-to-month basis,
and I agree to allow Patterson to continue to invoice my Patterson account each month at the service level rate I have subscribed to.”
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I have read and agree to the Terms of Use.
I have read and agree to the Terms of Use for Equi Reputation Builder.
I have read and agree to the Terms of Use for Equi Text On Demand Plus.
I have read and agree to the Terms of Use of Vet2Pet.
Submit
Reset
Please Note: If you do not currently have a Patterson account, a representative will contact you to complete your set-up.
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