Day Admission Form – Wellness


Date of Admission Appointment
Pet's Name(Required)
Owner's Name(Required)
Does your pet ever go outside?(Required)
Is your pet on any additional medications or supplements on a regular basis?(Required)

**Required vaccinations for “Day Admission Appointments”:
Canine Vaccinations: up-to-date Bordetella, Distemper, and Rabies
Feline Vaccinations: up-to-date Distemper and Rabies

*All pets who participate in day admission visits must be free of external parasites such as fleas and ticks. If your pet is found to have either of these parasites while in our care, your pet will be treated at the owner’s expense.

Primary Reason For Visit

Does your pet have any chronic medical conditions such as kidney disease, diabetes, hypothyroid?(Required)
Has your pet been in any social situations lately (dog parks, daycare, boarding, grooming)?(Required)
Do you authorize annual bloodwork to be sent out?(Required)
Do you need refills of chronic medications or preventions at this visit?*(Required)

*Some medications require routine bloodwork prior to medication refills. If deemed necessary, there may be additional charges applicable*

Notice to Pet Owners:

Our Day Admission Appointments typically require your pet to be in our care for much of the day with most discharges being done between the hours of 4:30pm and 6pm.

If deemed necessary due to the nature of the Day Admission visit, we may require a deposit at the time if drop off.

Owner’s authorization for treatment and care: By signing your name below, you acknowledge that you are financially responsible for all treatment and care provided to your pet during their visit. As well as, acknowledging that you have read and understood this information on this document.

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