Grooming Sedation Release Form

Save time during your appointment. Complete your required grooming sedation release form online from any device before your visit.

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Grooming Sedation Release Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pets before your visit.

Client Information

Name *

First

Last

Phone *

Email *

Patient Information

Patient Name *

Species *

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 Whiskerframe. *

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, Huntington 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 *

Signature *

Date *

Name

Grooming Sedation Release Form

Grooming Sedation Release Form

Client Information

Patient Information

Questions?

Location

Contact Information

Hospital Hours

Wellness Center Hours