Middlesex Veterinary Center Registration Form Logo
  • Welcome!

  • Thank you for giving us the opportunity to care for your pet. We’ll be happy to answer any questions youhave about your pet’s health. To ensure the best care possible, please take the time to fill out this formcompletely. Thank you!

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  • Owner Information

  • Pet Information

  • ScribbleVet Consent

  • I authorize the veterinary staff to utilize ScribbleVet, a tool from Kairo Care, Inc., which is a voice-to-text documentation tool, during interactions related to my pet’s care. This tool assists in accurately recording medical notes and improving efficiency in patient communication. I understand that the ScribbleVet app will be recording audio of these interactions for the purpose of generating timely and accurate medical documentation. By initialing below, I acknowledge that I understand the purpose of ScribbleVet and consent to its use as part of my pet’s care experience.

  • Authorization

    I hereby authorize the Veterinarian to examine, prescribe for, or treat the above pet. I assume responsibility for all charges incurred in the care of the animal. I also understand that these charges will be paid at the time of release and that a deposit may be required for surgical treatment.

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