Low Cost Vaccine Clinic Interest Form

Low Cost Vaccine Clinic Interest Form

We're glad you're interested in updating your pet's wellness!

On Friday, April 3rd Waltz Animal Clinic will be offering low cost vacacines and wellness packages by appointment from 8:30am-5:00pm. The packages below can be decided on during your visit and tailored to your needs. Complete this form and a team member will reach out to schedule your pets' visit. Looking for rabies only? Walk-ins welcome!

Dog Packages:

Basic $50: Brief exam, rabies, DHPP combo

Better $70: Brief exam, rabies, DHPP combo, heartworm test

Best $100: Brief exam, rabies, DHPP+Lepto combo, heartworm test, bordetella

Cat Packages:

Basic (indoor) $50: Brief exam, rabies, FVRCP combo

Basic (outdoor) $75: Brief exam, rabies, FVRCP+Leukemia combo

Best (outdoor) $125: Brief exam, rabies, FVRCP+Leukemia combo, FeLV/FIV test

Walk-in Rabies Only Dog/Cat: $15 (8:30am-12:00pm, 1:30pm-5:00pm)

Low Cost Vaccine Clinic Interest Form

Low-cost/high-volume wellness services for dogs and cats. A community outreach event.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com

Low Cost Vaccine Clinic Interest Form

Low-cost/high-volume wellness services for dogs and cats. A community outreach event.
Pet's Name (1 per page)
Pet's Species
Pet's Gender
Pet's Approximate Age or Date of Birth *Please note, the minimum age for rabies vaccination is 12 weeks. Puppy/Kitten vaccines start at 8 weeks old and require boosters until they are at least 16 weeks old.
Pet's Breed and Coloring
Anything else you would like to share with our team?
Have another pet you would like to bring?

Low Cost Vaccine Clinic Interest Form

Low-cost/high-volume wellness services for dogs and cats. A community outreach event.
Second Pet's Name
Pet's Species
Pet's Gender
Pet's Approximate Age or Date of Birth *Please note, the minimum age for rabies vaccination is 12 weeks. Puppy/Kitten vaccines start at 8 weeks old and require boosters until they are at least 16 weeks old.
Pet's Breed and Coloring
Anything else you would like to share with our team?
Should be Empty: