FURever Friends of Albany Spay and Neuter Clinic Appointment Form

FURever Friends of Albany Spay and Neuter Clinic Appointment Form

Please fill out this form to help us prepare for your pet's clinic visit. Once submitted, we will be in touch with your appointment time and further instructions. Please schedule one pet per entry and make sure the spelling of your pet's name, your email address and telephone number are accurate before submitting the form. Thank you.
Desired Clinic Date*
Clinic appointments are first come first served and dependent on the number of available surgical appointments per day. If your desired surgery date is unavailable, your pet will be added to the next scheduled clinic.
Owner's Full Name*

First NameLast Name
Owner's Street Address*
Owner's City*
Owner's State*
Owner's Zip Code*
Owner's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Owner's Email Address*
example@example.com
Pet's Name*
Pet Species*
Dog Breed (if known) Include photo below if unknown. Note: We do not perform surgeries on French and English Bulldogs, all other brachycephalics are permitted with a waiver. Doberman, Great Pyrenees, Great Danes and Rottweilers also require a high risk waiver.
Cat Breed (if known) Include photo below if unknown. Note: Sphinxes, Ragdolls and Maine Coons are permitted with a waiver.
Primary Color(s)*
Pet Age (estimate if unsure)*
Pet Weight Range (include photo if unsure)*
Take Photo of Pet if possible
MaleFemaleUnknown
YesNo
Take Photo of proof of vaccination
Take Photo of proof of vaccination
Health Concerns or anything else we should know? Please provide a description in the space below. Please provide a photo if needed. If you are working with a rescue, please let us know here.*
Take Photo if needed
I acknowledge that the information provided is accurate and complete to the best of my knowledge. I understand if my pet's weight is incorrectly estimated, I may be charged an "extra weight charge" at pick up. Additionally, if I cancel anytime after 5pm on the Friday of clinic weekend, I will forfeit my entire payment. I acknowledge that an additional fee may be added to females in heat or termination of pregnancies (up to $25) for additional services rendered.*

I Acknowledge
Pay by debit or credit card belowPay by cash or check prior to the scheduled clinic date. Further instructions will be sent via email.
Cash/Check payment instructions: If you choose to pay in person, please remove all items from the cart. Make note of the total amount due and submit the form. You will receive additional instructions via email shortly.

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FURever Friends of Albany Spay and Neuter Clinic Appointment Form

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