Welcome to Boulevard Veterinary
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example@example.com
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Pet Information
Pet's Name
*
Color
*
Type of Pet
*
Dog
Cat
Other
Breed
*
Age / Birthday
*
Gender
*
Male Intact
Male Neutered
Female Intact
Female Spayed
Rabies Vaccination
The rabies vaccination is required for treatment. If vaccination is not on file with our office, please bring your current certificate to the scheduled appointment.
Is your pet current on vaccinations?
*
Rabies
DAPP (Canine)
FVRCP (Feline)
Bordetella (Canine)
Leptospirosis (Canine)
FELV (Feline)
Lyme (Canine)
Does your pet have a microchip? If yes, please include Microchip number.
*
Is there any insurance company that we will be working with?
*
Medical History
Please provide any relevant medical history for your pet.
Medical Conditions
Medical Records / Patient Photo for Chart
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Reason for Visit
*
Thank you for completing our welcome form! We kindly request that you take a moment to fill out the history form as well, so we can gain a better understanding of your pet and how we can provide the best possible care for them.
Accepted: Cash, Care Credit, Visa, MasterCard, American Express, Discover. Boulevard Veterinary Care accepts payment plans made through Scratch pay and direct pay through Trupanion pet insurance.
*
I understand that payment is due at the time professional services are rendered.
Appointment Policy
We recognize that there may be times when you need to reschedule your appointments. When you book an appointment with us, please remember that we are reserving time specifically for your pet to see a provider. This courtesy allows us to deliver the highest level of service at our office. If you find it necessary to reschedule, we kindly ask for a minimum of 24 hours' notice for regular appointments and 48 hours' notice for anesthetic appointments. This consideration enables us to offer that time slot to another pet in need of care. Both your time and ours are valuable, so let's collaborate to find the most suitable time for your pet's appointment. If you have been asked to leave a deposit please note that if an appointment is canceled without 24 hours' notice, the $30 deposit will be forfeited. This is also true for late arrivals. Late arrivals may also have to be rescheduled. For anesthetic cancellations made without 48 hours' notice, the $200 deposit will be forfeited, and the appointment will not be rescheduled.
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