Client Name:
Date:
Pet's Name:
Breed:
Daytime Phone Number:
Requested Date of Grooming Appointment:
We groom pets Monday - Saturday starting at 7:00 AM.
Approximate time you plan to drop off your pet: AM PM
When you drop off your pet, would you like to speak to the groomer? Yes No
Time you would like to pick up your groomed pet: AM PM
Would you prefer us to call you when your pet is ready? Yes No
Grooming Services Offered - please select one box
Bath & Brush
Bath & Tidy
Full Service Groom
Shed-Out
All grooming and bathing services include a nail trim, anal gland expression, and ear cleaning and hair removal.
Medical Conditions/Services
Does your pet have any medical conditions a doctor needs to examine? If yes, please give a brief explanation:
Occasionally, our groomer may note a possible health problem with your pet (i.e. ear infection, skin condition, flea allergy), if so, may we have permission to examine your pet? Yes No
Some pets are very difficult to groom. This makes it extremely hard for our groomer to give your pet a quality grooming. If this occurs, a member of our medical staff will contact you before proceeding with any grooming services.
Vaccine Policy:
All hospitalized animals must have a verifiable record of current vaccination. If not verifiable, vaccines will be administered at an additional charge. For your pet's safety, we highly recommend and encourage that all vaccines be current.
Checking this box means that you agree to our policies.
Thank you, Pet Medical Center
