CURRENT COVID-19 PROTOCOLS

We are curbside only at this time. When you arrive, you will see orange cones in the parking lot to allow social distancing. Please park in a spot without a cone. There will be signs with phone numbers to call or text to let us know where you are parked. We appreciate your patience and cooperation as we get through this time together.

Grooming Consent Form

APPOINTMENT

We Look Forward To Seeing You!

Thank you for choosing Myrtle Grove Animal Hospital for your pet’s grooming needs. Please submit the form below prior to your appointment, and we will be in touch if we have any questions.

Client Information

Name *

First

Last

Phone *

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 Myrtle Grove 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? *

I understand that in the event fleas are noted on my pet, Myrtle Grove 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 Myrtle Grove Animal Hospital. *

I DO give permission
I DO NOT give permission

Date *

Signature *

Name

CURRENT COVID-19 PROTOCOLS

Grooming Consent Form

We Look Forward To Seeing You!

We provide quality veterinary care in Wilmington, NC and beyond!

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