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Grooming Form
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Please give us at least 24-48 hours notice for Grooming Form
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Client Information
Name
*
First
Last
Phone
*
Patient Information
Patient Name
*
Species
*
Canine
Feline
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
*
Clear Signature
Comment
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