Drop-Off/Hospitalization Consent Form

To make your pet’s drop-off smooth and stress-free, please complete this form with the necessary information about their care.

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Drop-Off/Hospitalization Consent

Leaving your pet in our care? Fill out this form to provide important details so we can ensure their comfort and well-being during their stay.

Thank you for taking advantage of our Pet Valet Service! We are here to help make your life easier! Please be aware that there is a $15.00 Kennel fee to cover staff costs for housing, watering, cleaning and exercising your pet during the day. If this is not OK, please schedule a regular Out-Patient visit. We will contact you after caring for your pet with our report or to schedule a pick up time!

For anesthetic cases

Other services

Please check all that apply

Medical History

Please fill in the health questions below so we can be sure to cover everything while your pet is here. This also helps us keep your pet's record up to date between visits!

Please check all that apply
Please check all that apply
Remember Heartworm Preventives, Flea/Tick Protection, Vitamins and Natural supplements

Contact information

It is CRITICAL that we have contact information so that you can be reached throughout the day in case of Emergency or the Doctor needing to discuss your pet's condition.

Consent

By Typing my Name Below I allow the procedures that I have requested above to performed on my pet in my absence. I understand that I will be charged a $15.00 Kennel fee if my pet is left at the clinic after my arranged pick up time.