Name
First
Last
Phone
Phone
Email
Pet's Name
Procedure
The veterinary staff of Pets R Us Commerce City Animal Hospital will take the utmost care to avoid any complications during the time in which your pet will be in our care. I understand that animals that require frequent sedation for procedures (such as grooming, bathing, etc.) may be required to have periodic blood screenings to confirm kidney and liver health. I authorize Pets R Us Commerce City Animal Hospital and its veterinarians to perform the necessary procedures listed below on my pet with the knowledge that I assume full financial responsibility for this animal and understand that additional charges may be incurred in the event of any complications.
Additional Services
Anal Gland Expression ($29.75)
Nail Trim ($18.99)
Brush and Bath ($50.00)
Ear Cleaning ($25.00-$35.00)
Ear Hair Plucking ($15.00-$25.00)
Microchip ($50.00)
Rabies vaccine ($22.00)
Dogs Only
Distemper/Parvovirus vaccine ($28.00)
Bordetella vaccine ($22.95)
Leptospirosis vaccine ($21.95)
Cats Only
FVRCP vaccine ($25.95)
Leukemia Virus vaccine ($29.95)
My signature below authorizes Pets R Us Commerce City Animal Hospital to perform sedation on my pet for the reason(s) indicated above. I understand that any additional services I may have selected will also be performed, if my pet’s health will permit, at the additional costs listed above. I have no questions or concerns at this time that have not been answered by Pets R Us Commerce City Animal Hospital and its staff.
Name
First
Last
Date
MM slash DD slash YYYY