Thank you for considering our hospital as your pet’s provider of veterinary physical rehab services. We are dedicated to helping you maintain the health of your pet and look forward to watching your pet recover.
Please complete this form prior to your first appointment which will help expedite the registration process and give us valuable insight in providing optimal care for your pet. (The required sections have a red * asterisk.)
I hereby authorize the veterinarian to examine, prescribe for, or treat my pet. I understand that all charges incurred must be paid in full at the time of release and a deposit may be required for hospitalization and surgical treatment. An estimate will be provided, upon request, prior to treatment, for approval.