• Vaccine Clinic- Client Intake Form

    Please provide your details to get started with our services.
  • Format: (000) 000-0000.
  • Pet Information

  • DOG VACCINES
  • CAT VACCINES
  • ADDITIONAL SERVICES
  • By checking this box, I authorize Kindred Soul Veterinary Services to provide the services selected above for my pet(s). I understand that these services are being provided as part of a vaccine clinic and do not include a comprehensive physical examination by a veterinarian.

    I acknowledge that vaccines, medications, microchips, and other preventive care services carry inherent risks, including but not limited to allergic reactions, vaccine failure, illness, injury, or, in rare cases, death. I understand that some underlying medical conditions may not be identified without a complete physical examination.

    I certify that my pet appears healthy to the best of my knowledge and that I have disclosed any known health concerns, prior vaccine reactions, medications, or medical conditions. I understand that Kindred Soul Veterinary Services reserves the right to decline services if my pet appears ill, injured, aggressive, or otherwise unsuitable for treatment at a vaccine clinic.

    I acknowledge that I have had the opportunity to ask questions, understand the nature of the services being provided, and accept the associated risks.

    I understand that vaccine clinic services are limited in scope and are not intended to diagnose, treat, or monitor medical conditions. If my pet is ill or requires medical evaluation, I understand that a full veterinary examination may be recommended before services are provided.

  • Should be Empty: