Drop Off Information

Client Name:*
First Last
Patient Name:
Reason for today's visit: (check all that apply)*
- Illness/Injury/Examination
- Wellness/Vaccines
- Bath
- Prescription Refill
- Other
If pet is injured, ill or needs examination in a specific area, please briefly list the symptoms you have noticed and their approximate duration:
If pet is in for wellness, please list out services needed:
Would you like any other services? (select all that apply)
- Microchipping
- Ear Cleaning
- Nail Trim
- Anal Gland Expression
In order to protect our patients from infectious diseases, we require that all animals entering the hospital are flea-free and show proof of current vaccinations through a licensed veterinarian for the following diseases:
CANINE: Rabies, DHPP (Distemper, Hepatitis, Parvo, Parainfluenza), Bordetella, CIV (Canine Influenza)
FELINE: Rabies, FVCRP (Distemper, Panleukopenia, Rhinotracheitis, Calici)
Vaccination Consent
I understand
I understand that my pet will be vaccinated as required if not proven to be current.
Vaccination Consent
I understand
I understand that my pet will be given flea treatment if fleas are found.
Treatment Consent (please select one):
- I do NOT authorize any additional services/medications without being contacted first.
- I authorize additional services/medications but not to exceed $100.
- I authorize additional services/medications but not to exceed $200.
- I authorize additional services/medications but not to exceed $300.
- I authorize any additional services/medicationsthat the doctor recommends during this visit.
Sometimes when a pet is ill,problems are detected and require further diagnostic tests and treatment. We will attempt to contact you before proceeding. However, if you cannot be reached, please initial below on how you would like us to proceed. ***I assume financial responsibility for the services rendered and understand that full payment is due upon completion of services***
Phone number where we can reach you today:*

Let’s Get in Touch!

We always welcome new clients and patients to our full-service veterinary clinic in Houston, Texas. We look forward to meeting you and your pet!

Address

1431 N Shepherd Dr
Houston, TX 77008

Contact

Phone: (713) 869-6644

Hospital Hours

Mon – Fri: 7 am – 6 pm
Sat: 7 am – 12 pm

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