GROOMING CHECK-IN

This form is for GROOMING services only. Please use the appointment check-in form if your pet needs any other services in addition to grooming.

By completing this online form, I authorize the performance of requested procedures and/or any related procedures deemed necessary by the veterinarian. I understand and acknowledge that no guarantee has been made regarding the results of the intended or any other unexpected but necessary treatment.

I understand that I assume financial responsibility for all services rendered and know and agree that payment is due on the date of services.

Grooming appointments – We will call you when your pet is ready.

"*" indicates required fields

Client Name*

First Name Last Name

Phone Type

Phone Number*

Enter Email Confirm Email

Appointment Date*

Pet's Name*

Requested Services*

Bath (Nail trim, clean ears, EAG)

Medicated Bath (Nail trim, clean ears, EAG)

Dremmel Nails

Shave (limited shave options – please specify)

Brush teeth (includes toothbrush/toothpaste for home use)

Additional Requests

Do you need any refills of medications, heartworm preventative, flea preventative, or food today? If so, please list.

How would you like to pay for this visit?*

This field is for validation purposes and should be left unchanged.