Survey - Boston Dermatology Immunotherapy Order Form

Boston Dermatology Immunotherapy Order Form

When you are ¾ of the way through your maintenance immunotherapy vial please order a refill here, or by calling the Dermatology liaison at 617-524-5733.

Please fill out all fields to request a refill of your pet’s immunotherapy. Requests are usually monitored Monday – Thursday and it may take up to 24 hours for the order to be processed. There may be delays around holidays. You will receive the pre-payment link, and any other correspondence regarding your immunotherapy order, via email.

All immunotherapy orders must be pre-paid before they can be formulated as they are specially formulated for each pet.

Orders that are processed and paid for by 12:00pm on Wednesday will be available in Boston by the end of day the following Wednesday. Orders being picked up in Waltham will be available the following Thursday by 3:00pm. Orders paid for and processed after 12:00pm on Wednesday will be available two Wednesdays later. You will be emailed when your order is available for pick up or is being sent to West from our Boston location.
We are unable to ship immunotherapy orders directly to owners at this time.

If you have any questions about the ordering process please contact the Dermatology Service at dermatology@angell.org, or at 617-524-5733.

Please be sure to use the pet first and last name listed on your pet’s Angell Account.

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Question - Required - PET'S FIRST NAME:

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Question - Required - OWNER'S FIRST NAME:

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Question - Required - OWNER'S LAST NAME:

Please provide your email address and phone number.


*	Email: Required
*	Phone Number: Required
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Question - Required - Pick-Up Location

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Question - Required - Syringe refill needed?