Grooming Form

When you trust our animal hospital with grooming services, you can always expect your pet to receive quality, compassionate care.

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Complete your form online!

If we have any questions for you, we’ll reach out after your form has been submitted.

Client Information

Name *

First

Last

Phone *

I consent to receive SMS text messages from Goodrich Veterinary Clinic. Msg & data rates may apply. Reply STOP to opt-out. *

Yes
No

Email *

**Have you made an appointment with us? Please call us now for availability! 402-896-4511**

Patient Information

Patient Name *

Species *

Breed

Weight

What type of grooming procedure is being done today? *

Are there any specific problems to address/be aware of or procedures to be performed during the grooming? *

I understand that a current rabies and distemper (and Bordetella for dogs) are required upon admission into Goodrich Veterinary Clinic. *

I understand

I also understand that a current (within a calendar year) heartworm test and stool check for intestinal parasites must also be up to date. *

I understand

Is the pet UTD on required vaccines and annual exam? *

I understand that in the event fleas are noted on my pet, Goodrich Veterinary Clinic 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 *

EMERGENCIES: If the need for emergency care arises, I give my permission for such care to be administered as deemed necessary by the on-duty veterinarian at Goodrich Veterinary Clinic. *

I DO give permission
I DO NOT give permission

Date *

Signature *

Clear Signature

Phone

Grooming Form

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