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Grooming Consent
Form
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Grooming Consent
Form
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Client Information
Name
*
First
Last
Phone
*
Email
*
**Have you made an appointment with us? Please call us now for availability!
979-822-5953
**
Patient Information
Patient Name
*
Species
*
Canine
Feline
Breed
Weight
What type of grooming procedure is being done today?
*
Are there any specific problems to address/be aware of or procedures to be performed during the grooming?
*
I understand that a current rabies and distemper (and Bordetella for dogs) are required upon admission into Bryan Animal Clinic.
*
I understand
I also understand that a current (within a calendar year) heartworm test and stool check for intestinal parasites must also be up to date.
*
I understand
Is the pet UTD on required vaccines and annual exam?
*
I understand that in the event fleas are noted on my pet, Bryan Animal Clinic will treat with appropriate parasite control medication while my pet is in the hospital, and I will be charged for the medication.
*
I understand
Today's contact number for when pet is ready for pick-up
*
EMERGENCIES: If the need for emergency care arises, I give my permission for such care to be administered as deemed necessary by the on-duty veterinarian at Bryan Animal Clinic.
*
I DO give permission
I DO NOT give permission
Date
*
Signature
*
Clear Signature
Email
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