Riverwalk Pet Hospital - pet grooming form

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Grooming Appointment Request Form

When you trust our animal hospital with grooming services, you can always expect your pet to receive quality, compassionate care. Please complete the form below before your grooming appointment.

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Grooming Appointment Request Form

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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.

Name *

First

Last

Phone *

Email *

Patient Information

Patient Name *

Species *

Breed

Weight

What type of grooming procedure is being done today? *

Full Service Groom (Includes: Bath, Blow Dry, Brush Out, Haircut, Nail Trim, Outer Ear Cleaning, External Anal Gland Expression, Cologne)
Bath Package (Includes: Bath, Blow Dry, Brush Out, Nail Trim, Outer Ear Cleaning, External Anal Gland Expression, Cologne)

Are there any specific problems to address/be aware of or procedures to be performed during the grooming? *

I understand in order to protect the health of your pet(s) and the hospital’s patients, all pets boarding at RPHR must have had a full exam done within the last year and be current on all required vaccines [DOGS: Rabies, Distemper, Bordetella (every 6 months), Bivalent Canine Influenza, Negative fecal test within the year CATS: Rabies, FVRCP, negative fecal test within the year]. If these services are not current, they will be performed upon admitting your pet(s) for grooming at the owner's expense. *ALL VACCINATIONS MUST BE ADMINISTERED BY A LICENSED VETERINARIAN. * *

I understand

Date *

Signature *

Clear Signature

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Grooming Appointment Request Form

Grooming Appointment Request Form

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