Treatment Allowance
PETCARE Animal Hospital
Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Pet's Name
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Best Way to Reach You:
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Phone Call
Text Message
If Your Pet Needs Additional Services (Extractions, Bonded Sealants, Medications, Etc...) - How May We Proceed? What Is Allowed?
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Do Whatever is Necessary, Regardless of Price - No Call/Text Needed Prior to Performing
Do Whatever is Necessary, Regardless of Price - A Call/Text Needed Prior to Performing - Proceed if Not Reached
$1000 Additional - A Call/Text is Needed, Proceed If Not Reached
$1000 Additional - No Call/Text is Needed, Unless Exceeds $1000
$650 Additional - No Call/Text Needed, Unless Exceeds $650
$650 Additional - A Call/Text is Needed, Proceed If Not Reached
$350 Additional - No Call/Text Needed, Unless Exceeds $300
$350 Additional - A Call/Text is Needed, Proceed if Not Reached
No Additional Permission is Granted - Must Contact for Additional Permission. I Understand if I Do Not Respond within 10 Minutes of Contact, My Pet will be woken up and they will NOT receive these services.
Signature
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