Pet Bathing Form

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Pet Bathing Form

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

Please Call to Make a Bathing Appointment First Before Filling Form Below

Baths are only performed while patient/boarder is in good health

Client Information

Pick Up Times

Boarder bath-pick up times are between 3-5:30pm

Drop off bath time between 8-10am, pick up time 3-5:30pm

Name *

First

Last

Email *

Phone *

Patient Information

Patient Name *

Health History:

Any known allergies? *

Current medications or health issues? *

Has the pet had any recent surgeries or medical treatments? *

I understand that a current rabies, bordetella, distemper and canine influenza are required upon admission into Animal Care Center & Pet Resort. *

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 up to date on required vaccines and annual exam? *

I understand that in the event fleas are noted on my pet, Animal Care Center & Pet Resort will treat with appropriate parasite control medication while my pet is in the hospital, and I will be charged for the medication. *

I understand

Are there any other services you would like to add on? *

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 Animal Care Center & Pet Resort. *

I DO give permission
I DO NOT give permission

Date *

Signature *

Clear Signature

Message

Pet Bathing Form

Pet Bathing Form

Client Information

Patient Information

Health History:

We’re excited to meet you

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We proudly serve the pets of Joppa, MD and beyond