• Client Information

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  • Patient Information

  • Vaccination History


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  • AUTHORIZATION
    I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet(s). I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid in full at the time of release and that a deposit may be required for surgical treatment.

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  • Thank you for taking the time to fill this out. All information will be kept confidential; client forms will be kept in a locked cabinet and shredded after 6 months.

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