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  • Welcome to Ibis Animal Hospital!

    Thank you for giving us the opportunity to care for your pet(s). We're happy to answer any questions you may have about their health. To ensure the best care possible, please take the time to fill this form out completely.
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  • Pet # 1


  • Pet # 2


  • Consent & Authorization

  • I hereby authorize the Veterinarian to examine, prescribe for, or treat, the pets that I've described in the New Patient Registration form. I understand that Ibis Animal Hospital requires current vaccinations except in cases determined by the veterinarian to no longer be medically appropriate. If the veterinarian determines that these vaccinations to not be up to date, I authorize Ibis Animal Hospital to administer them. If my canine(s) is found to have fleas during their visit, I authorize CapStar to be given in order to treat the fleas which are currently on my pet(s). I hereby state that I'm over 18 years of age, I am the owner (or authorized representative of the owner) and I have the authority to make both medical and financial decisions regarding this animal. I assume responsibility for all charges incurred in the care of the animal(s) listed on said form. I also understand & agree that these charges will be paid in full at the time services are rendered and prior to release of said pet(s). I also understand that a deposit may be required for certain medical or surgical treatments.

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