Glen Allen Animal Hospital

I stopped in, before my appointment, to see if they had my prescription filled out yet They did not, but said they would have it that day I came back after my appointment and the assistant handed me an envelope Along with the prescriptions, it contained all of my dog's records and a letter stating that she thought it would be best if I found another vet for their care The prescription was not even lines longI'm attaching a copy Two weeks for that is absurd I appreciate you hearing my complaint, it didn't expedite getting the prescription, but definitely made it clear to them their service was totally unacceptable

To Whom It May Concern, Thank you for your letter dated May 13, bringing to our attention the concerns of [redacted] , Case # [redacted] It is our goal to provide excellent customer service to all our clients and to minimize customer dissatisfactionIt is important that regardless, this is a medical practice and we must act in the best interest of the patient which does mean that, in this case, the client's desires can't be met [redacted] and [redacted] 's pet ***, a year old cnhound has been a patient since March 23, At that time, she presented for a refill of her [redacted] (a nonsteroidal anti-inflammatory medication) due to chronic hip pain [redacted] had been on [redacted] (also known as [redacted] ) from her previous veterinarian for several years for joint painDuring her examination she was diagnosed with a bilateral iliopsoas strain (a groin muscle strain) during her physical examination and the appropriate treatment was instituted with laser, rest, and a muscle relaxant***'s nonsteroidal anti-inflammatory medication was only refilled three times in the next months, approximately a day supplyHowever on October 7, she presented for vaccinations and at that time, her owners complained that ***'s hips seemed more painful and her back end gave out on slippery floors about once per weekOn her physical exam, she had dorsal stiffness in her back, her stifles (knees) were bilaterally thickened, and she had decreased range of motion in her hip joints with decreased extension especially on the rightBloodwork was discussed and recommended due to the need for chronic medications at this time due to chronic degenerative joint diseaseThe risks associated with the medications and the risks of not running the bloodwork were discussed with Mrs [redacted] sMrs [redacted] s still declined all bloodwork [redacted] was added to ***'s current medication to increase her comfort and to limit the dosage of the nonsteroidal anti•inflammatory medicationBoth medications were consistently refilled in the hospital or by writing a prescription over the next monthsOn April 3, Mrs [redacted] s requested additional medication and was informed that bloodwork was required due to the chronic medication and the nonsteroidal anti-inflammatory medicationShe stated that she was going out of town next week on vacation and only had days left of the medication but would contact us when she returned back into townSeventeen days later on April 20, 2015, she called back and requested an immediate appointmentDespite the fact that all appointments were full because I was leaving for continuing education the following day, [redacted] was accommodated into my already tight schedule and I examined [redacted] on April 21, At that time, a full blood panel and urinalysis, was performed in addition to an examinationAt that time Mrs [redacted] s requested that we contact her later with the bloodwork results so that she didn't have to wait for themAs I was only available for a few hours that morning and was leaving town for mandatory continuing education, I authorized a refill of the medications after reviewing the bloodwork and requested my staff to contact to Mrs [redacted] s with the resultsAfter I had left the hospital for the airport, I was informed that a written prescription was needed for ***'s medicationsSince I am the only doctor on staff and the only one who can write prescriptions, I authorized refilling a smaller amount through the hospital and a prescription would be ready for them after I returned from continuing educationHer owners appeared satisfied with the resolution; however, only the [redacted] was purchased that day since the [redacted] (the nonsteroidal anti-inflammatory medication) was declinedAfter my continuing education course, I returned back to the office on April 27, and received the news that the [redacted] s were dissatisfied with the service and had requested their recordsDespite the fact that Mrs [redacted] s had never mentioned the need of a written prescription to me during the appointment or that the appointment had been delayed by ***'s owners and medications had run out, I attempted to rectify the situation by offering to give a bottle discount (a bulk discount) on both medications, the medication that was already purchased ( [redacted] ) and on the medication that still needed to be purchased (the [redacted] )Thus the [redacted] s would only need to spend an addition $dollars to receive an additional capsules of [redacted] The offer was declined; Mrs [redacted] s stated again that she wanted all her records prepared so she could find veterinary care elsewhere but that she expected her written prescriptionsOn April 28, 2015, Mrs [redacted] s was contacted that the records and her prescription was ready for pick up at her earliest convenienceIt is hospital policy to allow up to hours for written prescriptionsThis policy allows adequate time to review the patient file and to type the required documentationsPrescriptions are not a scribble on a note pad taking a mere seconds as MrReynolds seems to indicate in his letterIt takes dedicated time and effort to ensure safety, the correct medication at the correct dose and then documentationOn April 21, 2015, Mrs [redacted] s elected to have Glen Allen Animal Hospital send home a day supply of [redacted] On April 29, 2015, the [redacted] s picked up a written prescription for a day supply of [redacted] , a nonsteroidal anti-inflammatory medication, in addition to ***'s medical record Nonsteroidal anti-inflammatory medications are often used for pain and inflammatory control, however side effects (potentially life threating) include stomach ulceration, platelet deactivation, bleeding, kidney complications, liver complications, and more11-2s1thus a solid client, patient, doctor relationship is crucial when administering these medications in addition to routine blood chemistryThe [redacted] 's have indicated several times since ***'s appointment on April 21, 2015, that they have been dissatisfied with the service despite my attempt to rectify the situationAbove all else a veterinarian should do no harm by their patients, I cannot in good faith dispense long term medication to a client that has requested their records multiple times by supplying medication that requires constant monitoring by a medical professionalBased on medical protocol, I have provided a day supply of both ***'s medications so that the [redacted] 's may have an appropriate amount of time to locate a new veterinarian and establish themselves prior to requiring more medication for their petAt this time, they have already picked up a copy of their pets records so that the veterinarian of their choosing will have access to the blood chemistry I have performed recently to check ***'s healthBut to be clear the blood chemistry performed on April 21, was to evaluate the health of the patient and determine the safety and appropriateness of the medication, not "for the sole purpose of a prescription refill" or "paid to get the scripts" as stated in the letter provided by Mr [redacted] sThe [redacted] s have not paid to get a written prescription of their pets medication as statedIf Mrand Mrs [redacted] s require a recommendation of a new veterinarian then I can provide several reputable names for them at their requestOnce established at a new hospital, a prescription should be able to be written for them at their request by their new veterinarian, who can provide the required follow up for their pet's safetyI wish [redacted] the best of healthSincerely, [redacted] *** Glen Allen Animal Hospital

To Whom It May Concern, Thank you for your letter dated May 13, 2015 bringing to our attention the concerns of [redacted], Case # [redacted]. It is our goal to provide excellent customer service to all our clients and to minimize customer dissatisfaction. It is important that...

regardless, this is a medical practice and we must act in the best interest of the patient which does mean that, in this case, the client's desires can't be met. [redacted] and [redacted]'s pet [redacted], a 13 year old cnhound has been a patient since March 23, 2013. At that time, she presented for a refill of her [redacted] (a nonsteroidal anti-inflammatory medication) due to chronic hip pain. [redacted] had been on [redacted] (also known as [redacted]) from her previous veterinarian for several years for joint pain. During her examination she was diagnosed with a bilateral iliopsoas strain (a groin muscle strain) during her physical examination and the appropriate treatment was instituted with laser, rest, and a muscle relaxant. [redacted]'s nonsteroidal anti-inflammatory medication was only refilled three times in the next 18 months, approximately a 75 day supply. However on October 7, 2014 she presented for vaccinations and at that time, her owners complained that [redacted]'s hips seemed more painful and her back end gave out on slippery floors about once per week. On her physical exam, she had dorsal stiffness in her back, her stifles (knees) were bilaterally thickened, and she had decreased range of motion in her hip joints with decreased extension especially on the right. Bloodwork was discussed and recommended due to the need for chronic medications at this time due to chronic degenerative joint disease. The risks associated with the medications and the risks of not running the bloodwork were discussed with Mrs. [redacted]s. Mrs. [redacted]s still declined all bloodwork. [redacted] was added to [redacted]'s current medication to increase her comfort and to limit the dosage of the nonsteroidal anti•inflammatory medication. Both medications were consistently refilled in the hospital or by writing a prescription over the next 6 months. On April 3, 2015 Mrs. [redacted]s requested additional medication and was informed that bloodwork was required due to the chronic medication and the nonsteroidal anti-inflammatory medication. She stated that she was going out of town next week on vacation and only had 10 days left of the medication but would contact us when she returned back into town. Seventeen days later on April 20, 2015, she called back and requested an immediate appointment. Despite the fact that all appointments were full because I was leaving for continuing education the following day, [redacted] was accommodated into my already tight schedule and I examined [redacted] on April 21, 2015. At that time, a full blood panel and urinalysis, was performed in addition to an examination. At that time Mrs. [redacted]s requested that we contact her later with the bloodwork results so that she didn't have to wait for them. As I was only available for a few hours that morning and was leaving town for mandatory continuing education, I authorized a refill of the medications after reviewing the bloodwork and requested my staff to contact to Mrs. [redacted]s with the results. After I had left the hospital for the airport, I was informed that a written prescription was needed for [redacted]'s medications. Since I am the only doctor on staff and the only one who can write prescriptions, I authorized refilling a smaller amount through the hospital and a prescription would be ready for them after I returned from continuing education. Her owners appeared satisfied with the resolution; however, only the [redacted] was purchased that day since the [redacted] (the nonsteroidal anti-inflammatory medication) was declined. After my continuing education course, I returned back to the office on April 27, 2015 and received the news that the [redacted]s were dissatisfied with the service and had requested their records. Despite the fact that Mrs. [redacted]s had never mentioned the need of a written prescription to me during the appointment or that the appointment had been delayed by [redacted]'s owners and medications had run out, I attempted to rectify the situation by offering to give a bottle discount (a bulk discount) on both medications, the medication that was already purchased ([redacted]) and on the medication that still needed to be purchased (the [redacted]). Thus the [redacted]s would only need to spend an addition $15 dollars to receive an additional 190 capsules of [redacted]. The offer was declined; Mrs. [redacted]s stated again that she wanted all her records prepared so she could find veterinary care elsewhere but that she expected her written prescriptions. On April 28, 2015, Mrs. [redacted]s was contacted that the records and her prescription was ready for pick up at her earliest convenience. It is hospital policy to allow up to 48 hours for written prescriptions. This policy allows adequate time to review the patient file and to type the required documentations. Prescriptions are not a scribble on a note pad taking a mere 2 seconds as Mr. Reynolds seems to indicate in his letter. It takes dedicated time and effort to ensure safety, the correct medication at the correct dose and then documentation. On April 21, 2015, Mrs. [redacted]s elected to have Glen Allen Animal Hospital send home a 30 day supply of [redacted]. On April 29, 2015, the [redacted]s picked up a written prescription for a 30 day supply of [redacted], a nonsteroidal anti-inflammatory medication, in addition to [redacted]'s medical record . Nonsteroidal anti-inflammatory medications are often used for pain and inflammatory control, however side effects (potentially life threating) include stomach ulceration, platelet deactivation, bleeding, kidney complications, liver complications, and more11-2s1thus a solid client, patient, doctor relationship is crucial when administering these medications in addition to routine blood chemistry. The [redacted]'s have indicated several times since [redacted]'s appointment on April 21, 2015, that they have been dissatisfied with the service despite my attempt to rectify the situation. Above all else a veterinarian should do no harm by their patients, I cannot in good faith dispense long term medication to a client that has requested their records multiple times by supplying medication that requires constant monitoring by a medical professional. Based on medical protocol, I have provided a 30 day supply of both [redacted]'s medications so that the [redacted]'s may have an appropriate amount of time to locate a new veterinarian and establish themselves prior to requiring more medication for their pet. At this time, they have already picked up a copy of their pets records so that the veterinarian of their choosing will have access to the blood chemistry I have performed recently to check [redacted]'s health. But to be clear the blood chemistry performed on April 21, 2015 was to evaluate the health of the patient and determine the safety and appropriateness of the medication, not "for the sole purpose of a prescription refill" or "paid to get the scripts" as stated in the letter provided by Mr. [redacted]s. The [redacted]s have not paid to get a written prescription of their pets medication as stated. If Mr. and Mrs. [redacted]s require a recommendation of a new veterinarian then I can provide several reputable names for them at their request. Once established at a new hospital, a prescription should be able to be written for them at their request by their new veterinarian, who can provide the required follow up for their pet's safety. I wish [redacted] the best of health. Sincerely, [redacted] Glen Allen Animal Hospital

To Whom It May Concern, Thank you for your letter dated May 13, 2015 bringing to our attention the concerns of [redacted], Case # [redacted]. It is our goal to provide excellent customer...

service to all our clients and to minimize customer dissatisfaction. It is important that regardless, this is a medical practice and we must act in the best interest of the patient which does mean that, in this case, the client's desires can't be met. [redacted] and [redacted]'s pet [redacted], a 13 year old cnhound has been a patient since March 23, 2013. At that time, she presented for a refill of her [redacted] (a nonsteroidal anti-inflammatory medication) due to chronic hip pain. [redacted] had been on [redacted] (also known as [redacted]) from her previous veterinarian for several years for joint pain. During her examination she was diagnosed with a bilateral iliopsoas strain (a groin muscle strain) during her physical examination and the appropriate treatment was instituted with laser, rest, and a muscle relaxant. [redacted]'s nonsteroidal anti-inflammatory medication was only refilled three times in the next 18 months, approximately a 75 day supply. However on October 7, 2014 she presented for vaccinations and at that time, her owners complained that [redacted]'s hips seemed more painful and her back end gave out on slippery floors about once per week. On her physical exam, she had dorsal stiffness in her back, her stifles (knees) were bilaterally thickened, and she had decreased range of motion in her hip joints with decreased extension especially on the right. Bloodwork was discussed and recommended due to the need for chronic medications at this time due to chronic degenerative joint disease. The risks associated with the medications and the risks of not running the bloodwork were discussed with Mrs. [redacted]s. Mrs. [redacted]s still declined all bloodwork. [redacted] was added to [redacted]'s current medication to increase her comfort and to limit the dosage of the nonsteroidal anti•inflammatory medication. Both medications were consistently refilled in the hospital or by writing a prescription over the next 6 months. On April 3, 2015 Mrs. [redacted]s requested additional medication and was informed that bloodwork was required due to the chronic medication and the nonsteroidal anti-inflammatory medication. She stated that she was going out of town next week on vacation and only had 10 days left of the medication but would contact us when she returned back into town. Seventeen days later on April 20, 2015, she called back and requested an immediate appointment. Despite the fact that all appointments were full because I was leaving for continuing education the following day, [redacted] was accommodated into my already tight schedule and I examined [redacted] on April 21, 2015. At that time, a full blood panel and urinalysis, was performed in addition to an examination. At that time Mrs. [redacted]s requested that we contact her later with the bloodwork results so that she didn't have to wait for them. As I was only available for a few hours that morning and was leaving town for mandatory continuing education, I authorized a refill of the medications after reviewing the bloodwork and requested my staff to contact to Mrs. [redacted]s with the results. After I had left the hospital for the airport, I was informed that a written prescription was needed for [redacted]'s medications. Since I am the only doctor on staff and the only one who can write prescriptions, I authorized refilling a smaller amount through the hospital and a prescription would be ready for them after I returned from continuing education. Her owners appeared satisfied with the resolution; however, only the [redacted] was purchased that day since the [redacted] (the nonsteroidal anti-inflammatory medication) was declined. After my continuing education course, I returned back to the office on April 27, 2015 and received the news that the [redacted]s were dissatisfied with the service and had requested their records. Despite the fact that Mrs. [redacted]s had never mentioned the need of a written prescription to me during the appointment or that the appointment had been delayed by [redacted]'s owners and medications had run out, I attempted to rectify the situation by offering to give a bottle discount (a bulk discount) on both medications, the medication that was already purchased ([redacted]) and on the medication that still needed to be purchased (the [redacted]). Thus the [redacted]s would only need to spend an addition $15 dollars to receive an additional 190 capsules of [redacted]. The offer was declined; Mrs. [redacted]s stated again that she wanted all her records prepared so she could find veterinary care elsewhere but that she expected her written prescriptions. On April 28, 2015, Mrs. [redacted]s was contacted that the records and her prescription was ready for pick up at her earliest convenience. It is hospital policy to allow up to 48 hours for written prescriptions. This policy allows adequate time to review the patient file and to type the required documentations. Prescriptions are not a scribble on a note pad taking a mere 2 seconds as Mr. Reynolds seems to indicate in his letter. It takes dedicated time and effort to ensure safety, the correct medication at the correct dose and then documentation. On April 21, 2015, Mrs. [redacted]s elected to have Glen Allen Animal Hospital send home a 30 day supply of [redacted]. On April 29, 2015, the [redacted]s picked up a written prescription for a 30 day supply of [redacted], a nonsteroidal anti-inflammatory medication, in addition to [redacted]'s medical record . Nonsteroidal anti-inflammatory medications are often used for pain and inflammatory control, however side effects (potentially life threating) include stomach ulceration, platelet deactivation, bleeding, kidney complications, liver complications, and more11-2s1thus a solid client, patient, doctor relationship is crucial when administering these medications in addition to routine blood chemistry. The [redacted]'s have indicated several times since [redacted]'s appointment on April 21, 2015, that they have been dissatisfied with the service despite my attempt to rectify the situation. Above all else a veterinarian should do no harm by their patients, I cannot in good faith dispense long term medication to a client that has requested their records multiple times by supplying medication that requires constant monitoring by a medical professional. Based on medical protocol, I have provided a 30 day supply of both [redacted]'s medications so that the [redacted]'s may have an appropriate amount of time to locate a new veterinarian and establish themselves prior to requiring more medication for their pet. At this time, they have already picked up a copy of their pets records so that the veterinarian of their choosing will have access to the blood chemistry I have performed recently to check [redacted]'s health. But to be clear the blood chemistry performed on April 21, 2015 was to evaluate the health of the patient and determine the safety and appropriateness of the medication, not "for the sole purpose of a prescription refill" or "paid to get the scripts" as stated in the letter provided by Mr. [redacted]s. The [redacted]s have not paid to get a written prescription of their pets medication as stated. If Mr. and Mrs. [redacted]s require a recommendation of a new veterinarian then I can provide several reputable names for them at their request. Once established at a new hospital, a prescription should be able to be written for them at their request by their new veterinarian, who can provide the required follow up for their pet's safety. I wish [redacted] the best of health. Sincerely, [redacted] Glen Allen Animal Hospital

I stopped in,  before my appointment, to see if they had my prescription filled out yet.  They did not, but said they would have it that day.  I came back after my appointment and the assistant handed me an envelope.  Along with the prescriptions,  it contained all of...

my dog's records and a letter stating that she thought it would be best if I found another vet for their care.   The prescription was not even 2 lines long. I'm attaching a copy.  Two weeks for that is absurd.  I appreciate you hearing my complaint,  it didn't expedite getting the prescription,  but definitely made it clear to them their service was totally unacceptable.

Review: My wife took our dog, [redacted], for a required check-up to refill her medicine. [redacted] is an older dog with several joint issues that require medicine for pain control. Dr. [redacted] at Glen Allen Animal Hospital had prescribed this medicine roughly six months ago, and it has been working well. Dr. [redacted] performed the check-up, and a blood test. Once the test results came back, the doctor determined that not only should [redacted] continue on the two prescriptions, but that one of them should have the dosage increased. My wife asked for the prescriptions written out so she could take them to be filled somewhere that was much more reasonably priced. The vet tech told her that the doctor was too busy to write out the prescriptions (something that should take less than 2 minutes), and that we would have to get the prescriptions filled at the office (at the much higher price) because the doctor was leaving for a week long vacation after that day. Since we didn't have enough medicine at home to wait for the doctor's return, we filled one month of the first scrip and said that we would be back to get the additional 5 months, plus the 6 months of the other scrip when the doctor returned. We also asked for [redacted]'s records, in case we decided to find another vet.When my wife returned to pick up the prescriptions, the only thing she was given was one month of the second scrip (making a total of 30 days worth of medicine for [redacted].) When asked why she couldn't get the other 5 months, she was told that the doctor had closed out our account and wouldn't write any more scrips for us because she had asked for [redacted]'s records. At this point, we had spent several hundred dollars on the check-up and blood test for the sole purpose of a prescription refill. We had not attempted to find another vet, or indicated that we wanted to close our account. We both made several attempts to explain that to the doctor, but she refuses to speak with us. Apparently out of pettiness, she will not write the scrips we paid to get.Desired Settlement: We just want the additional 5 months of prescriptions for both medicines, which was agreed to at the time of the check-up.

Business

Response:

To Whom It May Concern, Thank you for your letter dated May 13, 2015 bringing to our attention the concerns of [redacted], Case # [redacted]. It is our goal to provide excellent customer service to all our clients and to minimize customer dissatisfaction. It is important that regardless, this is a medical practice and we must act in the best interest of the patient which does mean that, in this case, the client's desires can't be met. [redacted] and [redacted]'s pet [redacted], a 13 year old cnhound has been a patient since March 23, 2013. At that time, she presented for a refill of her [redacted] (a nonsteroidal anti-inflammatory medication) due to chronic hip pain. [redacted] had been on [redacted] (also known as [redacted]) from her previous veterinarian for several years for joint pain. During her examination she was diagnosed with a bilateral iliopsoas strain (a groin muscle strain) during her physical examination and the appropriate treatment was instituted with laser, rest, and a muscle relaxant. [redacted]'s nonsteroidal anti-inflammatory medication was only refilled three times in the next 18 months, approximately a 75 day supply. However on October 7, 2014 she presented for vaccinations and at that time, her owners complained that [redacted]'s hips seemed more painful and her back end gave out on slippery floors about once per week. On her physical exam, she had dorsal stiffness in her back, her stifles (knees) were bilaterally thickened, and she had decreased range of motion in her hip joints with decreased extension especially on the right. Bloodwork was discussed and recommended due to the need for chronic medications at this time due to chronic degenerative joint disease. The risks associated with the medications and the risks of not running the bloodwork were discussed with Mrs. [redacted]s. Mrs. [redacted]s still declined all bloodwork. [redacted] was added to [redacted]'s current medication to increase her comfort and to limit the dosage of the nonsteroidal anti•inflammatory medication. Both medications were consistently refilled in the hospital or by writing a prescription over the next 6 months. On April 3, 2015 Mrs. [redacted]s requested additional medication and was informed that bloodwork was required due to the chronic medication and the nonsteroidal anti-inflammatory medication. She stated that she was going out of town next week on vacation and only had 10 days left of the medication but would contact us when she returned back into town. Seventeen days later on April 20, 2015, she called back and requested an immediate appointment. Despite the fact that all appointments were full because I was leaving for continuing education the following day, [redacted] was accommodated into my already tight schedule and I examined [redacted] on April 21, 2015. At that time, a full blood panel and urinalysis, was performed in addition to an examination. At that time Mrs. [redacted]s requested that we contact her later with the bloodwork results so that she didn't have to wait for them. As I was only available for a few hours that morning and was leaving town for mandatory continuing education, I authorized a refill of the medications after reviewing the bloodwork and requested my staff to contact to Mrs. [redacted]s with the results. After I had left the hospital for the airport, I was informed that a written prescription was needed for [redacted]'s medications. Since I am the only doctor on staff and the only one who can write prescriptions, I authorized refilling a smaller amount through the hospital and a prescription would be ready for them after I returned from continuing education. Her owners appeared satisfied with the resolution; however, only the [redacted] was purchased that day since the [redacted] (the nonsteroidal anti-inflammatory medication) was declined. After my continuing education course, I returned back to the office on April 27, 2015 and received the news that the [redacted]s were dissatisfied with the service and had requested their records. Despite the fact that Mrs. [redacted]s had never mentioned the need of a written prescription to me during the appointment or that the appointment had been delayed by [redacted]'s owners and medications had run out, I attempted to rectify the situation by offering to give a bottle discount (a bulk discount) on both medications, the medication that was already purchased ([redacted]) and on the medication that still needed to be purchased (the [redacted]). Thus the [redacted]s would only need to spend an addition $15 dollars to receive an additional 190 capsules of [redacted]. The offer was declined; Mrs. [redacted]s stated again that she wanted all her records prepared so she could find veterinary care elsewhere but that she expected her written prescriptions. On April 28, 2015, Mrs. [redacted]s was contacted that the records and her prescription was ready for pick up at her earliest convenience. It is hospital policy to allow up to 48 hours for written prescriptions. This policy allows adequate time to review the patient file and to type the required documentations. Prescriptions are not a scribble on a note pad taking a mere 2 seconds as Mr. Reynolds seems to indicate in his letter. It takes dedicated time and effort to ensure safety, the correct medication at the correct dose and then documentation. On April 21, 2015, Mrs. [redacted]s elected to have Glen Allen Animal Hospital send home a 30 day supply of [redacted]. On April 29, 2015, the [redacted]s picked up a written prescription for a 30 day supply of [redacted], a nonsteroidal anti-inflammatory medication, in addition to [redacted]'s medical record . Nonsteroidal anti-inflammatory medications are often used for pain and inflammatory control, however side effects (potentially life threating) include stomach ulceration, platelet deactivation, bleeding, kidney complications, liver complications, and more11-2s1thus a solid client, patient, doctor relationship is crucial when administering these medications in addition to routine blood chemistry. The [redacted]'s have indicated several times since [redacted]'s appointment on April 21, 2015, that they have been dissatisfied with the service despite my attempt to rectify the situation. Above all else a veterinarian should do no harm by their patients, I cannot in good faith dispense long term medication to a client that has requested their records multiple times by supplying medication that requires constant monitoring by a medical professional. Based on medical protocol, I have provided a 30 day supply of both [redacted]'s medications so that the [redacted]'s may have an appropriate amount of time to locate a new veterinarian and establish themselves prior to requiring more medication for their pet. At this time, they have already picked up a copy of their pets records so that the veterinarian of their choosing will have access to the blood chemistry I have performed recently to check [redacted]'s health. But to be clear the blood chemistry performed on April 21, 2015 was to evaluate the health of the patient and determine the safety and appropriateness of the medication, not "for the sole purpose of a prescription refill" or "paid to get the scripts" as stated in the letter provided by Mr. [redacted]s. The [redacted]s have not paid to get a written prescription of their pets medication as stated. If Mr. and Mrs. [redacted]s require a recommendation of a new veterinarian then I can provide several reputable names for them at their request. Once established at a new hospital, a prescription should be able to be written for them at their request by their new veterinarian, who can provide the required follow up for their pet's safety. I wish [redacted] the best of health. Sincerely, [redacted] Glen Allen Animal Hospital