Pet Information
Pet Name (required)
Select Pet Species (required) —Please choose an option—DogCat
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
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
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