New Pet and Client Checklist

  • Client Information

    If you are registering more than one pet, you will need to complete this form once for each pet you are registering
  • Format: (000) 000-0000.

  • This portion only needs to be completed if the pet is not a current patient of Dr. Janssen

  • Dog/Puppy

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  • Please complete this form an additional time if you would like your other pet to be a patient of Dr. Janssen.

  • Cat/Kitten

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  • Pricing and Fees Information

    We have your pet’s best interest at heart and provide the highest quality health care. It is Dr. Janssen’s philosophy to recommend the same things for his patients that he would do for his own pet.

  • A Word About Fees: A physical examination and consultation is the first step in providing care for your pet. This is history taking, examination of the pet, and answering questions related to the problem or exam findings. Information is gathered by looking, listening, smelling, and feeling. Sometimes further information is needed, in which case we may suggest lab tests or other procedures. All subsequent lab tests, professional procedures, medications and vaccinations have a fee attached in addition to that charged for the physical exam and consultation. You are entitled to know what that fee is. However, some of our clients find it time consuming and cumbersome for us to continually quote prices prior to doing anything. Therefore, we would like to know your preference so that we may serve you better.

  • Please Bring to Your First Appointment:

    1. Patient vaccine records
    2. fecal samples for each patient
    3. your social security number
    4. your drivers license number and state
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  • Should be Empty: