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256-534-2241
256-534-2241
Request Appointment
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Grooming Form
Welcome, Clients!
Please out the form below.
"
*
" indicates required fields
Pet Owner Information
Owner:*
*
First*
Last*
Telephone:*
Cell*
*
Home
Work
Patient Information
Pet's Name
Weight
Breed
Species
*
Canine
Feline
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 Huntsville Pet Vet.
*
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, Huntsville Pet Vet 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 Huntsville Pet Vet.
*
I DO give permission
I DO NOT give permission
Signature
*
Date
*
MM slash DD slash YYYY
SMS Consent
I agree to receive SMS communications.
I agree to receive recurring automated messages from Huntsville Pet Vet about pet care, appointment reminders, marketing communications, and offers to the mobile number provided. Your consent is not required, and you may opt out at any time by replying STOP. Msg & data rates may apply. Message frequency may vary.
Email Consent
I agree to receive email communications.
I agree to receive marketing offers and updates via your preferred/primary email. You'll still receive services and account related emails if you do not check the box.
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Email
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