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Burlington Vet - Patient Information
  • 1
    • Male
    • Neutered Male
    • Female
    • Spayed Female
    • Canine
    • Feline
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  • 2
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  • 3
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  • 4
    • Breeder
    • Shelter/Rescue
    • Friend/neighbor
    • Pet Store
    • Stray
    • Grooming
    • Boarding
    • Dog Parks
    • Daycare
    • Show
    • Agility
    • Breeding
    • Strictly Indoors
    • Indoor/Outdoor
    • No
    • Yes
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  • 5
    • No, I prefer that you do not contact them
    • Yes
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  • 6
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  • 7
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  • 8
    • No
    • Yes
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  • 9
    Please list below
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  • 10
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  • 11
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  • 12
    Clear
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  • 13
    -
    Pick a Date
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