(319) 351-7387 | 301 Kirkwood Ave, Iowa City, IA 52240

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New Client Form

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  • Pet

  • NameBreedMicrochip#Date of BirthColorSexSpayed or Neutered 
  • RabiesDistemper (DAP / DA2PP)LeptoLymeBordatella (KC)Heartworm/Lyme Screen Test 
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  • RabiesDistemper (FVRCP)Leukemia (FLV) 
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  • Additional Pets

  • Second Pet

  • NameBreedMicrochip#Date of BirthColorSexSpayed or Neutered 
  • RabiesDistemper (DAP / DA2PP)LeptoLymeBordatella (KC)Heartworm/Lyme Screen Test 
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  • RabiesDistemper (FVRCP)Leukemia (FLV) 
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  • Third Pet

  • NameBreedMicrochip#Date of BirthColorSexSpayed or Neutered 
  • RabiesDistemper (DAP / DA2PP)LeptoLymeBordatella (KC)Heartworm/Lyme Screen Test 
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  • RabiesDistemper (FVRCP)Leukemia (FLV) 
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  • Fourth Pet

  • NameBreedMicrochip#Date of BirthColorSexSpayed or Neutered 
  • RabiesDistemper (DAP / DA2PP)LeptoLymeBordatella (KC)Heartworm/Lyme Screen Test 
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  • RabiesDistemper (FVRCP)Leukemia (FLV) 
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  • Fifth Pet

  • NameBreedMicrochip#Date of BirthColorSexSpayed or Neutered 
  • RabiesDistemper (DAP / DA2PP)LeptoLymeBordatella (KC)Heartworm/Lyme Screen Test 
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  • RabiesDistemper (FVRCP)Leukemia (FLV) 
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    • General Policies

      We require established care between the veterinarian, client, and pet before treating or prescribing medications. Your pet must be examined yearly for continuous establishment. We reserve the right to discontinue care at any point.

      Financial Policies

      We accept all forms of card payment (Visa, Amex, Discover, Mastercard), cash, and checks.

      Payment is due at time of service. Unpaid balances will incur a monthly fee and statement.

      It is the client's responsibility to request an estimate.

      Clinic Safety

      Dogs must be leashed at all times.

      Cats must be in a carrier. One per carrier.

      The client is responsible for the pet's behavior. Please keep them away from other pets and let staff know if they require certain accommodations due to behavioral concerns.

    • I understand by electronically signing this document that I acknowledge and accept the terms above.

      If you need to schedule an appointment - Click Here

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