May the Paws Be With You! An Open House event at Touhy Animal Hospital on May 4th from 10 am - 12 pm.

50% OFF Vaccine Day Each Thursday! (Rabies, Distemper, Bordetella Vaccines Only)

Grooming
Consent Form

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Grooming Consent Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Client Information

Name *

First

Last

Email *

Phone *

Patient Information

Patient Name *

Species *

Breed

Weight

What type of grooming procedure is being done today? *

Are there any specific problems to address/be aware of or procedures to be performed during the grooming? *

I understand that a current rabies are required upon admission into Touhy Animal Hospital. *

I understand

I understand that in the event fleas are noted on my pet, Touhy Animal Hospital will treat with appropriate parasite control medication while my pet is in the hospital, and I will be charged for the medication. *

I understand

Today's contact number for when pet is ready for pick-up *

EMERGENCIES: If the need for emergency care arises, I give my permission for such care to be administered as deemed necessary by the on-duty veterinarian at Touhy Animal Hospital. *

I DO give permission
I DO NOT give permission

I understand that payment is expected in full at the time of services rendered. Unpaid invoices will incur a 5% late fee and will be submitted to a collections agency past 60days. *

I understand

Appointments cancelled less than 48hrs will be charged a $42 cancellation fee on their invoice. *

I understand

Date *

Signature *

Comment

May the Paws Be With You! An Open House event at Touhy Animal Hospital on May 4th from 10 am - 12 pm.

Grooming
Consent Form

Grooming Consent Form

Client Information

Patient Information

Touhy Animal Hospital

Business Hours

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Pets of Park Ridge, IL
and Beyond