Additional Pet Form
Owner First & Last Name
*
First Name
Last Name
Email
*
example@example.com
Pet Name
*
Date of Birth (or age)
*
Species
*
Please Select
Dog
Cat
Rabbit
Ferret
Guinea Pig
Mouse/Rat
Hamster
Breed
*
Color
*
*
Male
Neutered
Female
Spayed
Medical Conditions/ Pertinent History
*
If none, write N/A
Pet Photo
Browse Files
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All payments are required at the time of discharge.
We accept cash, checks, all major credit cards & Care Credit which can be approved in as little as 10 minutes. No refunds, chargebacks, or cancellations once services are performed.
Pet Restraint Policy
For legal and safety reasons, it is AAAH's policy that a trained staff member or veterinarian will restrain your pet during any/all exams, testing and procedures being performed. It is a non-negotiable policy. Owners, children, family members, friends, or caretakers MAY NOT hold or restrain their own pet while an exam is being performed. Please do not place your face or hands near an animal's face during an exam, even if you think you are calming or helping your pet. Rarely we may require a muzzle restraint for an aggressive pet. This is for the safety of the staff and veterinarian as well as that of the pet to receive a thorough exam. If you perceive your pet to be anxious or stressed before beginning an exam, a suitable calming medication may be given orally or by an injection. The health and safety of our staff, clients, and our patients is of the most importance. We will use all/any precautions to ensure this. Thank you for your understanding.
I have read and understand the above statements and agree to all terms therein.
*
Date
*
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Month
-
Day
Year
Date
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