Grooming Consent Form

*A new consent form will be required for every grooming appointment.

We will call you when your pet is ready to be picked up!

Owner: *

Best Phone Number: *

Pets being groomed: *

Person(s) to contact in case of emergency: *

Person(s) Phone Number: *

Notes for the Groomer: *

COUNTRY VIEW VETERINARY SERVICE BOARDING HEALTH POLICY

To insure the protection of all pets under our care, the following must be up-to-date:

Dogs:

Rabies, DHPP, Bordetella

Cats:

Rabies, FVRCP

EMERGENT MEDICAL ILLNESS POLICY:

If your pet(s) becomes ill. please indicate your wishes below:

PLEASE CHECK ONE: *

Please perform all necessary medical treatments until someone can be reached.
I authorize up to $100
I authorize up to $200
I authorize more than $200

FLEA EXPOSURE

If any fleas/ticks are observed on your pet(s) while grooming, he/she (they) will receive a flea bath/dip at the owner’s expense. *

I agree

I have read and understand this agreement. If circumstances change, I will notify Country View Veterinary Service. If not up-to-date, or unable to provide proof of vaccination, I give my permission to update my pet(s) vaccination with an exam if needed in accordance with the above policy at my expense.

Owner/Agent for Pet(s):

Clear Signature

Date:

Social Media Release

Country View Veterinary Service hereby has permission to use any photos taken of your pet(s) during boarding for advertising purposes and social media. Pet’s Name(s) will be used. Last names or names of owner(s) will not be released.

I WISH TO DECLINE Country View taking photos of my pet(s). Please sign here

Clear Signature

Grooming Consent Form

We will call you when your pet is ready to be picked up!

COUNTRY VIEW VETERINARY SERVICE BOARDING HEALTH POLICY

Dogs:

Cats:

EMERGENT MEDICAL ILLNESS POLICY:

FLEA EXPOSURE

Social Media Release

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