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Purrfurred Pets
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Purrfurred Pets

New Client Information Form

  • Pet #1

  • Date Format: MM slash DD slash YYYY
  • Pet #2

  • Date Format: MM slash DD slash YYYY
  • Patient History

  • Hold down the CTRL key to select multiple
  • Vaccination History (Please provide date of last vaccinations)

  • Hold down the CTRL key to select multiple
  • Hold down the CTRL key to select multiple
  • To my knowledge the animal listed above is in good health. I acknowledge the fact that all pre and post vaccination care is my responsibility. I am the owner and/or responsible party of the animal listed above and have the authority to execute this consent. I understand that my pet may have a reaction to the vaccination, although rare. I understand that some risk always exists with vaccinations. I am encouraged to discuss any concerns I may have about those risks with the attending veterinarian before the procedures are initiated. I also hereby authorize the use of such vaccinations as the veterinarian deems advisable and the performance of such procedures as they determine necessary. My signature on this form indicates that any questions I have regarding these issues have been answered to my satisfaction.
    I agree to indemnify and hold harmless Purrfurred Pets Veterinary Clinic and the attending veterinarian from and against all liability arising out of the performance of all procedures referred to above.
  • Date Format: MM slash DD slash YYYY

Contact Us

Reach out to us and we will be happy to answer any questions, discuss your pet’s health and book an appointment.

Get Directions
Address

15601 W Bell Rd, Ste 204
Surprise, Arizona
85374

Contact

Tel:623-474-3877
[email protected]

Hours

Monday to Friday: 8 AM- 5 PM
Saturday: Closed
Sunday: Closed

© 2023 Purrfurred Pets.
Provided by Covetrus | Powered by LifeLearn WebDVM

  • Pet Services
  • Our Team
  • Pet Health
    • Pet Health Checker
    • Pet Health Library
    • How-To Videos
    • Pet News
    • Pet Food Recalls
    • Product Recalls
    • Pet Insurance
  • Forms
    • New Client Information Form
    • Surgical Consent Form
    • Canine Surgery After-Care
    • Feline Surgery After-Care
  • Contact Us
    • Make an Appointment
    • Cancelation Policy
    • Careers
  • Online Pharmacy