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New Client Special*: 50% off first exam fee.

Mondays belong to the Seniors! Starting April 1st, clients over the age of 55 will receive a 10% discount on any appointments scheduled on Mondays.

M

Please fill out this form before your visit.

Boarding Drop-Off Form

BOOK APPOINTMENT

Name *

First

Last

Primary Phone *

I consent to receive SMS text messages from Fox and Friends Animal Hospital. Msg & data rates may apply. Reply STOP to opt-out. *

Yes
No

Secondary Phone

Email *

Pet Name *

Emergency Contact Name *

First

Last

Emergency Contact Phone *

How much do you feed your pet? *

How often do you feed your pet? *

Does your pet take any medication(s)?

Yes
No

Medication Name *

Medication Dosage *

When did you give the last dosage? *

Would you like to add information for another medication?

Yes
No

Medication Name *

Medication Dosage *

When did you give the last dosage? *

Would you like to add information for another medication?

Yes
No

Medication Name *

Medication Dosage *

When did you give the last dosage? *

Would you like to add information for another medication?

Yes
No

Medication Name *

Medication Dosage *

When did you give the last dosage? *

Would you like to add information for another medication?

Yes
No

Medication Name *

Medication Dosage *

When did you give the last dosage? *

Any additional comments/special instructions?

What heartworm prevention and when was it last administered? *

What flea prevention and when was it last administered? *

*For protection, if your pet has not been treated with heartworm medication or if any fleas are seen, we will administer medication upon entering the kennel. **For the health and protection of your pet, the vaccine protocol is as follows: current rabies, bordetella, distemper/parvo vaccination, fecal and heartworm test. Guidelines for this are determined by age and species and must be given by a licensed veterinarian. Please provide written documentation of vaccines if done at another facility.

If your pet shows any symptoms of health-related problems while staying with us, does the doctor have consent to do an exam and treatment as necessary? *

Yes
No

If our examination is not diagnostic, may we run bloodwork to help diagnose the problem? *

Yes
No

If sedation is necessary, do we have your consent? *

Yes
No

We will attempt to call prior to treatment, but there are times that immediate treatment is necessary.

If X-rays are necessary, do we have your consent? *

Yes
No

We will attempt to call prior to treatment, but there are times that immediate treatment is necessary.

I agree to hold Fox & Friends Animal Hospital, its owners, and agents harmless from and against all liability arising out of the proper performance of the care and treatment of my pet. I am the owner or agent for the described pet and have authority to execute this consent. I further agree to pay all charges incurred at the time of release of my pet. *

I agree

Signature *

Date *

Name

Have a question?

Use the form below to send a message to our team, and we'll be in touch with you shortly. If you're in need of immediate assistance, please contact us directly at 813-633-2443.

Name *

First

Last

Email *

Phone

I consent to receive SMS text messages from Fox and Friends Animal Hospital. Msg & data rates may apply. Reply STOP to opt-out. *

Yes
No

How can we help you? *

Comment

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