We know your pet’s health is important and we thank you for trusting
us to care for them. To help us provide the best care possible, please
take a few moments to fill out this form completely. Thank you!
Your email address will only be used for our automatic reminder
system that informs you when your pet’s vaccines, recheck
appointments, and any other pertinent information regarding your
pet, are due. This method will be used in lieu of reminder cards
or phone calls.
I hereby authorize the veterinarian to examine, prescribe for,
and/or treat the above described pet. I assume full
responsibility for all charges incurred for the care of this
animal. I also understand that these charges will be paid at the
time of release and that a deposit may be required for surgical
treatment. I authorize Vitality Veterinary Services to use
photographs of my pet for purposes of publicity, advertising,
web content, and/or the Vitality Veterinary Services Facebook
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