Veterinary Urgent Care Pre-Check-In

Veterinary Urgent Care Pre-Check-In

Please complete this form before your visit to help us provide prompt care for your pet.
Owner's Full Name*

First NameLast Name
Pet's Name*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.

We understand that taking your pet to the vet can be stressful, so we offer some additional services during your urgent care visit. We offer a variety of wellness blood panels for your pet, ranging from $200 to $300.
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As a convenience, we also offer flea/tick/heartworm products at prices competitive to major online retailers.

For Dogs (based on weight):
- Simparica Trio, 3-month-supply, $120-135 + tax
- Simparica Trio, 6-month-supply, $200-235 + tax
For Cats (based on weight):
- Revolution Plus, 3-month-supply, $85-105 + tax
- Revolution Plus, 6-month-supply, $155-180 + tax
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We also offer vaccines (assuming your pet's condition does not restrict them from having vaccines) if needed. They are priced as follows:

Acknowledgements & Consent

Please read each statement and check the box next to each to indicate that you have read and agree.
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Acknowledgements & Consent