Client Information

Name *

First

Last

Phone *

Patient Information

Patient Name *

Species *

Breed

Weight

What kind of haircut/ style are you wanting your pet to get done today?

De-Shedding Treatment
Light Trim (Feathering and Sanitary Trail)
Full Hair Cut
Complete Shave Down

Has your Pet been professionally groomed before? *

I understand that a current rabies and distemper (and Bordetella for dogs) are required upon admission into Petplex Animal Hospital. *

I understand

Is the pet UTD on required vaccines and annual exam?

Yes
No

Does your pet need to be be sedated to be groomed?

Yes
No

Are there any behavioral or physical challenges we need to be aware of? (Such as, does not like nails trimmed, hip dysplasia, dog aggressive, moles, blind, etc.?)

Yes
No

Please elaborate

Is your pet's hair matted or tangled?

Yes
No

I understand that in the event fleas are noted on my pet, Petplex Animal Hospital will treat with appropriate parasite control medication while my pet is in the hospital, and I will be charged for the medication. *

I understand

Today's contact number for when pet is ready for pick-up *

Date *

Signature *

Grooming Form

Please give us at least 24-48 hours notice for Grooming Form

Client Information

Patient Information

Petplex Animal Hospital, the Right Vet for your Pet.

Contact Info

Location

Hours

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