Drop Off Services Authorization

Drop Off Services Authorization

Please complete the following information. All entries are required. You will be redirected to an electronic signature gathering site upon completion of this form.
  • MM slash DD slash YYYY
  • Please provide the best phone number to reach you at while your pet is with us.
  • In the event we need to contact you, may we use a texting service to reach you at the phone number provided?
  • Please select pet's species.
  • Please enter your pet's age. If birthdate unknown, please estimate age.
  • Please enter pet's breed.
  • Please copy and paste the services to be completed during sedation.