Lanark Leeds & Grenville Spay Neuter Clinic
Surgical Booking Form
Please be kind, we need time to book your appointment. If you haven't heard from us within 48 business hours please review your junk/spam folder and look for DaySmart Vet, it's our software. Give us a quick call if you haven't received an appointment and you DID SEND A DEPOSIT. Forms are not processed without a deposit which is sent via EMT. Deposit information is below.
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I understand payment is EMT and the information is below.
There are new regulations to travel to the USA with dogs. Microchips are now mandatory. You may have a microchip implanted at the time of surgery if you require one.
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Yes, I require a microchip
No, I'm good
Have you previously registered a pet at the clinic
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Yes
No
Owner Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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example@example.com
CELL NUMBER
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Please enter a valid phone number.
Format: (000) 000-0000.
Pet Information (one form per animal)
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Male Cat
Female Cat
Male Dog
Female Dog
Pet Name
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Pet Breed
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Pet Colour
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Pet Age (please put months or years after)
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Pet Weight (lbs.) (DOGS ONLY)
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Regular Veterinary Clinic/or a note to us
Would you like us to share your records with your regular veterinarian?
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Yes
No
No regular veterinarian
Would you like a microchip, e-collar or bodysuit at the time of surgery?
Microchip ($50)
E-collar( $17)
Bodysuit (male dogs and female dogs &cats/price varies depending on size )
Rabies vaccine ($50)
All dogs have an IV catheter placed at the time of surgery,( already included in your surgery package) you have the option of IV FLUIDS during surgery ($30). This protects the kidneys and helps in recovery- This is completely optional unless your pet is over 5 years old.
We love our cats also, SQ fluids during surgery is $ 20, fluids are given under the skin and absorbed throughout the body.
Anticipated timeline (based on availability): Please note, we have a fair amount of movement and you can request to be on the waitlist for an earlier appointment.
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anytime is good
within 7-14 days
within 15-30 days
For male dogs and male cats only - has your primary DVM told you your pet has a "retained testicle"? If so, please forward your pets medical records to retainedrecords@gmail.com Your appointment cannot be booked until the clinic receives these records.
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Yes, my primary DVM has told me my dog has a retained testicle
No, we have two testicles
Not applicable I have a female pet.
Please read carefully the following information. Should you have any questions, please call the clinic or visit our website for prices and most commonly asked questions.
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I understand a $75 non refundable deposit , for each pet, is required when I book an appointment.
I understand that if my deposit does not accompany my form, my booking will NOT be processed.
My deposit has been sent via EMT to payspay2021@gmail.com
My name and phone number are on my deposit information
I understand that my appointment CAN be moved and my deposit follows that appointment with 48 hours notice.
I understand that if my phone number above, is not with my payment I run the risk of not having my payment credited to my account and my booking is delayed. I also understand that if I have multiple last names, the name on the form and the banking has to be the same, or a note made in comments.
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Ok
Submit Form
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