Date Date Format: MM slash DD slash YYYY Cat(s) Name:My Cat(s) Will Have the Following Procedure(s) Done Today: Bath only Medicated Bath (+$3) Sani-Clip only Sani-Clip with Bath and Comb out Sani-Clip, Belly shave, Bath and Comb out Lion cut with Bath and Comb out Administer flea medication Pre-anesthetic bloodwork (+$100) (strongly suggested for pets over 10 years) Special Instructions/Other Treatments:Current MedicationsYesNoPlease listPre-Anesthetic Blood workYesNo(Recommended to screen your pet for any illnesses that may complicate anesthesia.)Is your pet current on his/her vaccines?YesNoI hereby authorize and direct Dr. Dorothy V. Flynn D.V.M. to perform the procedure(s) noted above and to administer anesthetics and/or other drugs deemed advisable for the health and safety of my cats(s). I understand the nature of the procedure(s) and the relative risks involved. I authorize The Cat Clinic of Destin to provide any appropriate care should an unexpected complication arise. (PLEASE NOTE THAT IF ANY LIVE FLEAS ARE SEEN ON YOUR CAT TODAY, WE WILL GIVE ORAL CAPSTAR, APPLY TOPICAL DEWORMER AND APPLY TOPICAL FLEA TREATMENT AND ANY RESULTANT CHARGES WILL BE APPLIED TO YOUR BILL.)SignatureDate Date Format: MM slash DD slash YYYY Phone*Desired pick-up time:CAPTCHA
