Bath Drop off

Owner's Name*

First NameLast Name

Pet’s Name*

Primary Phone*

Please enter a valid phone number.Format: (000) 000-0000.

Secondary Phone

Please enter a valid phone number.Format: (000) 000-0000.

Cleansing Bath (a mild, hypoallergenic shampoo for normal skin.)Flea Bath (a shampoo that contains pyrethrins that kill fleas, ticks and lice.)Medicated Bath

Nail TrimAnal Gland Expression (Dogs only)Ear Cleaning (Dogs only)

Doctor’s ExamSanitary ShaveMedication RefillOther

Other*

Perform CPRDo Not Perform CPR

Monday - Thursday pets are ready for pickup between 2:30pm – 5:30pm
Friday pets are ready for pickup between 2:30pm – 5:30pm
Saturday pets are ready for pickup between 12:00pm – 3:30pm

I understand that any pet presented with a flea infestation will be given a Capstar pill. Ask for pricing. Capstar is an oral flea-control product for dogs and cats that quickly (within 30 minutes) kills adult fleas and lasts for 24 hours. Capstar assists Bay Animal Hospital in keeping a flea-free facility for all of our patients.

Date*

Date

Signature*