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Grooming Consent Form

Name: Kittery Animal Hospital
Address: 195 State Rd., Kittery, ME, 03904, United States
Telephone: 207-439-4158
Price range: $

Please fill out this form as completely and accurately as possible.

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Grooming Consent Form

Please complete the form below, and a member of our team will get back to you as quickly as possible to confirm your request.

Client Information

Name *

First

Last

Phone *

Email *

**Have you made an appointment with us? Please click here to request an appointment!**

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 Kittery Animal Hospital. *

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? *

SEVERE MATTING: Matted coats can cause a variety of skin and health problems. Matted fur does not allow the air to circulate to the skim, which can increase the risk of bacteria, infection, and parasites. Mats that are left in the coat will tighten close to the skin, and attempting to brush these out can cause pain, discomfort, and stress to your animal. Kittery Animal Hospital wants to do what is best for your pet's health. Heavy matting will require the coat to be shaved short. In the case of matting, a matting fee of $55 for 30 minutes of de-matting will be charged to your bill. I hereby grant permission to the Kittery Animal Hospital groomer on staff to shave matted areas if necessary. *

I have read and understand

I understand that in the event fleas are noted on my pet, Kittery 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 *

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 Kittery Animal Hospital. *

I DO give permission
I DO NOT give permission

Date *

Signature *

Clear Signature

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Grooming Consent Form

Grooming Consent Form

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