Pre-Examination Form

Before you come to see us, complete your curbside check-in form online. If you have not booked an appointment yet, please call us to book your pet’s visit.

Please note: Our updated COVID19 policy requires us to let you know the symptoms to be aware of before coming in to your appointment. If you are suffering from ANY of the following: coughing, fever, upper respiratory, headache, or gastrointestinal issues, any international travels, or travels by airplane to hotspots within the US, etc., your pet’s appointment will need to be rescheduled, or another person needs to bring your pet in for the appointment. A mask is always required.
(please list model & color)
(the Veterinarian and technician will use this number to communicate with you through the appointment if you choose to remain curbside.)
If you do not need a refill, please put N/A.
My signature authorizes that I will be giving VERBAL CONSENT via telephone while curbside, based on an accurate explanation of treatment plan & charges provided to me by the veterinarian or Veterinary Technician who speaks with me during my pet's appointment
Click or drag files to this area to upload. You can upload up to 5 files.