Drop-Off Treatment Request

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Drop-Off Treatment Request Form

Please fill out the form below, and a member of our team will get back to you as soon as possible if we have any questions. All fields marked with * are required.

Since you will not be present during the exam, please provide the doctor with a specific explanation of their current condition. By providing as much information as possible, the doctor will be better equipped to diagnose and treat the problem.

Clear Signature

Your pet will need to be picked up by 5 PM today (unless other arrangements have been made with the doctor/hospital staff.)