Check In Form SUN

Pet Services Consent Form

Team A SUN
Welcome to Low Cost Pet Spot!

Please complete the following form for your pet and click submit at the bottom.

If you are not sure what your pet needs you can click submit and we can help you figure out what is right for you and your pet.

If you have more than one pet click "additional pets" on the "Thank you" page after you click "submit" at the bottom of this form.
Date of services:

MonthDayYear
Date
Name of Owner*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Name of Pet*
Species*
Breed
Sex*
Your pets date of birth (or approximate date of birth):

MonthDayYear
Date
Please acknowledge that you understand and are aware of the risks with having services at a mobile outdoor vaccination clinic:*

All pets must be securely contained on a leash or in a carrierIt is my responsibility to make sure my pet does not become looseIt is my responsibility to ensure my pet does not overheat and I understand that I can remain in my vehicle or wherever is most comfortable for me and my pet until calledI understand that there is a risk of an allergic reaction to vaccinationsIt is my responsibility to communicate any behavioral concerns with my pets to the staff prior to services being rendered
Not sure what your pet needs?

Scroll all the way to the bottom and select submit. We will help you figure out what is right for you and your pet.
Services:
Categories:All

All

Adult dog $50 ($75 w/ heartworm test)

Puppy #1 (6-8 weeks) $35

Puppy #2 (10-12 weeks) $55

Puppy #3 (14-16 weeks) $50

Dog preventions

Adult cat vaccinations $50

Kitten #1 (6-8 weeks) $35

Kitten #2 (10-12 weeks) $60

Kitten #3 (12-16 weeks) $65

Cat preventions

Individual Vaccinations

Other
prevnext( X )
Adult dog $50 ($75 w/ heartworm test)

Rabies1 year
$10.00 Due in:Location given:



DHLPPDistemper, adenno virus type 2, parainfluenza, parvo and lepto.
$25.00 Due in:Location given:



BordetellaIntranasal; upper respiratory vaccination
$15.00 Due in:Location given:



Heartworm test
$25.00 Results:



Puppy #1 (6-8 weeks) $35

DHPPdistemper/parvo vaccination
$20.00 Due in:Location given:



DewormerPyrantel Pamoate
$10.00



Triheart Blue 0-25 lbsDiscounts if you buy 6 or 12 at a time. See associate.
$10.00 Quantity
Item subtotal:$0.00



Puppy #2 (10-12 weeks) $55

DHLPPDistemper, adenno virus type 2, parainfluenza, parvo and lepto.
$25.00 Due in:Location given:



BordetellaIntranasal; upper respiratory vaccination
$15.00 Due in:Location given:



DewormerPyrantel Pamoate
$10.00



Triheart Blue 0-25 lbsDiscounts if you buy 6 or 12 at a time. See associate.
$10.00 Quantity
Item subtotal:$0.00



Puppy #3 (14-16 weeks) $50

Rabies1 year
$10.00 Due in:Location given:



DHLPPDistemper, adenno virus type 2, parainfluenza, parvo and lepto.
$25.00 Due in:Location given:



DewormerPyrantel Pamoate
$10.00



Triheart Blue 0-25 lbsDiscounts if you buy 6 or 12 at a time. See associate.
$10.00 Quantity
Item subtotal:$0.00



Dog preventions

ProHeart 12Heartworm prevention injection that lasts for 12 months. Your pet must be at least 1 year old and have a current negative heart worm test or previous Proheart injection.
$85.00 SizesLocation given:
Item subtotal:$0.00



Bravecto
$75.00 SizesQuantity
Item subtotal:$0.00



Bravecto 1 moChewable tablet for fleas and ticks that lasts for 1 month.
$25.00 QuantitySize



Triheart Blue 0-25 lbsDiscounts if you buy 6 or 12 at a time. See associate.
$10.00 Quantity
Item subtotal:$0.00



TriHeart Green 26-50 lbsSpecial pricing for quantities of 6 or 12 doses. See associate for details.
$11.00 Quantity



TriHeart Brown 51-100 lbsSpecial pricing if purchased in 6 or 12 quantities. See associate for more details.
$12.00 Quantity



Adult cat vaccinations $50

Rabies1 year
$10.00 Due in:Location given:



FVRCPannual feline distemper vaccination
$20.00 Due in:Location given:



FeLvFeline leukemia vaccination
$20.00 Due in:Location given:



Kitten #1 (6-8 weeks) $35

DewormerPyrantel Pamoate
$10.00



FVRCPannual feline distemper vaccination
$20.00 Due in:Location given:



SelaridTopical flea and tick prevention.
$10.00 SizesQuantity
Item subtotal:$0.00



Kitten #2 (10-12 weeks) $60

DewormerPyrantel Pamoate
$10.00



FVRCPannual feline distemper vaccination
$20.00 Due in:Location given:



FeLvFeline leukemia vaccination
$20.00 Due in:Location given:



SelaridTopical flea and tick prevention.
$10.00 SizesQuantity
Item subtotal:$0.00



Kitten #3 (12-16 weeks) $65

Rabies1 year
$10.00 Due in:Location given:



DewormerPyrantel Pamoate
$10.00



FVRCPannual feline distemper vaccination
$20.00 Due in:Location given:



FeLvFeline leukemia vaccination
$20.00 Due in:Location given:



SelaridTopical flea and tick prevention.
$10.00 SizesQuantity
Item subtotal:$0.00



Cat preventions

SelaridTopical flea and tick prevention.
$10.00 SizesQuantity
Item subtotal:$0.00



Bravecto Plus
$52.99 QuantitySizes



Individual Vaccinations

Rabies1 year
$10.00 Due in:Location given:



DHLPPDistemper, adenno virus type 2, parainfluenza, parvo and lepto.
$25.00 Due in:Location given:



BordetellaIntranasal; upper respiratory vaccination
$15.00 Due in:Location given:



DHPPdistemper/parvo vaccination
$20.00 Due in:Location given:



FVRCPannual feline distemper vaccination
$20.00 Due in:Location given:



FeLvFeline leukemia vaccination
$20.00 Due in:Location given:



FluH3N2
$45.00 Due in:Location given:



Lyme
$45.00 Due in:Location given:



Rattlesnake
$45.00 Due in:Location given:



Other

Praziquantel injectionTapeworm dewormer
$25.00



Diphenhydramine injectionAntihistamine
$10.00



MicrochipAKC Reunite
$20.00



Heartworm test
$25.00 Results:



DewormerPyrantel Pamoate
$10.00



Meloxicam doseHelps with soreness after having vaccinations
$5.00



Total

$0.00
BY SELECTING SUBMIT I CONSENT I have read and fully understand the above information. I have had the opportunity to ask questions and by which I have received an answer to my satisfaction. I understand the risks in the administering of a vaccine and I assume the said risks and I hereby give my consent for having my pet vaccinated by the veterinarian or veterinary staff. I shall report to the clinic any complications that might arise following the vaccination. I understand that any additional treatment may incur expense on my part. I understand that my pet(s) have been examined to determine the appropriateness of the immunizations selected. This is not a full and complete physical examination. I recognize the inherent risks of bringing my pet to an outdoor vaccination clinic. Pet(s) may have an adverse reaction to any vaccine. I agree to indemnify and hold Low Cost Pet Spot or any affiliate harmless from and against any and all liability arising out of procedures performed and of my visit to the mobile vaccination clinic today including, but not limited to: loss, injury or death. I also hold Low Cost Pet Spot blameless should I be harmed by my pet or any other pet attending the mobile vaccination clinic. I authorize the following pet(s) to be vaccinated by Low Cost Pet Spot.

Emergency

We provide a low cost alternative for vaccinations, heartworm testing and preventatives. An annual examination with your regular veterinarian is always recommended and in the best interest of your pet’s health. An allergic reaction to vaccines can include hives, facial swelling, nausea, vomiting or general malaise. A vaccine reaction can be immediate or take up to four days to develop. If your pet is having a reaction more severe than some general malaise or soreness, you should immediately seek medical attention with your regular veterinarian. If it is after hours, it is prudent to consult the local emergency clinic. Call your nearest emergency clinic in case of emergency vaccine reaction.

Pet Services Consent Form

Not sure what your pet needs?