Please only use this form if directed to by a member of Craig Road Animal Hospital’s staff as this form is used to authorize us to groom your pet.

    Pet Information

    Pet Name (required)

    Select Pet Species (required)

    Pet Breed (required)

    Client Information

    Pet Owner's Name (required)

    Pet Owner's Phone Number (required)

    Pet Owner's Email (recommended)

    All animals groomed at Craig Road Animal Hospital are required to have proof of current vaccinations. Dogs must have distemper/parvovirus, bordetella, and influenza annually, a current rabies and a current fecal. Cats must have upper respiratory combo and leukemia annually, rabies and a current fecal. We only accept vaccines given by a licensed veterinarian. These are minimum vaccination requirements and are necessary for the safety of all the animals staying at Craig Road Animal Hospital.

    Special Instructions or Medications:

    Vaccines Needed:

    Additional Services:
    Nail TrimAnal GlandsFecal

    Medical History (* indicates a required field)
    Please check yes or no for the following:

    Heart Condition*?
    YesNo

    Diabetes*?
    YesNo

    Respiratory Condition*?
    YesNo

    Pregnant*?
    YesNo

    Seizures*?
    YesNo

    Vaccine Reactions*?
    YesNo

    Other Medical Conditions*?
    YesNo

    If yes, please specify what:

    No Medical Conditions*?
    YesNo

    Is your pet doing any of the following? (* indicates a required field):

    Vomiting*?
    YesNo

    Coughing*?
    YesNo

    Sneezing*?
    YesNo

    Is your pet (* indicates a required field):

    Eating*?
    YesNo

    If no, for how long?

    Drinking*?
    YesNo

    If no, for how long?

    All precautions will be used against injury, escape, or death of this pet. The clinic and staff will not be held liable for problems that develop, provided that reasonable care and precautions have been followed. I grant permission for any necessary vaccines that are required by Craig Road Animal Hospital and any emergency treatments needed while my pet is being groomed. I understand that I am financially responsible for all charges that are acquired for treatments performed to my pet. I understand that all payment in full is required at the time of pick-up for all services rendered during my pets stay. If your pet is found to be aggressive and/or dangerous to the staff or other animals, arrangements must be made to pick-up your pet immediately and all financial costs will be the responsibility of the owner. All pets not picked up w/in 10 days after the expected date of pick-up will be considered abandoned.

    We are not responsible for any personal items that are lost or destroyed while grooming. We recommend not leaving any items here.

    Owner's Signature (required)

    Today's Date

    Contact info:

    phone: 702.645.0331
    fax: 702.645.5009

    Email us Today!
    5051 W. Craig Road Las Vegas, NV 89130
    Business Hours
    Monday - Friday: 6am - 8pm
    Saturday and Sunday: 7am - 6pm

    Map

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    We Accept the Following Payment Options:
    trupanion pet insurance

    • After 8PM emergency care provided by Veterinary Emergency Critical Care
    • On-site staffed 24/7/365
    • 10% Military Discounts on services

    Online Scheduling & Mobile App
    Check out our new Online Real-time scheduling program and Mobile App. Read More