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Hours & Contact
Monday - Friday: 9 am - 5pm
Saturday & Sunday: CLOSED
(559) 665-5600
[email protected]
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Drop Off Form
Owner Name
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Cell phone
Pet Name
Species:
Canine
Feline
Describe the current problem:
How long has it been going on?
Has this problem occurred before?
Yes
No
If yes, when?
Has your pet experienced any of the following:
Vomiting
Diarrhea
Coughing
Sneezing
Blood in urine
None of the above
If yes, please describe:
Has your pet shown any change in:
Thirst
Appetite
Frequency of urination
Amount of urination
Energy level
Diet
None of the above
If yes, please describe:
Is your pet experiencing any pain?
Yes
No
Please list any current medication your pet is on including name, dosage and frequency:
(Canine Only) Has your dog had the DAPP vaccine? (Distemper, Adenovirus, Parainfluenza, and Parvo)
Yes
No
If so, how many?
Where was the vaccine administered?
At home
Veterinary clininc
When was the last dose?
Has your pet received a rabies vaccine?
Yes
No
If so, date of last vaccine:
(Feline Only) Has your cat had the FVRCP vaccine?
Yes
No
If so, date of last vaccine:
Reproductive status - When was your pet spayed or neutered and where?
CPR: If your pet requires cardiopulmonary resuscitation (CPR), do you wish this procedure to be performed? Cost can be up to $500.
Yes to CPR treatment and the costs associated.
DNR “do not resuscitate”. This is a decision that CPR is not to be performed.
Do you grant permission for blood work and radiology to be done before the doctor contacts you with a treatment plan?
Yes
No
Estimated cost $420 non same day treatment/non emergencies. $460 for emergencies/walk in. Please note that this is only exam and basic diagnostics.
Payment Options:
We accept cash, credit cards, and
Scratchpay
Amount you expect to spend today:
$200
$350
$400
$500
$750
Someone with final approval must be available the entire time your pet is at the clinic.
Please note that all drop offs go in priority of severity and may have to wait for more serious emergencies that may walk in before your exam.
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