GBarN Veterinary Clinic Drop-Off Agreement
 
Today’s date: ___________               Phone number where I can be reached today___________  
 
My pet is here today for: __________________________________________________________________________________
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I am financially responsible for this pet and understand payment is due when he/she is picked up.
 
************************PLEASE NOTE************************
 
Our vaccination policy: Dogs must be current for DHLPP, Bordatella, and rabies. Cats must be current for FVRCP, FELV, and rabies. If they are not, we will update them and charge accordingly. 
 
If an animal is found to have external parasites (fleas, ticks, mites) we will be treat them and charge accordingly. 
 
Animals will not be released after hours, on Sundays, or on holidays. 
 
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Your pet is being admitted for treatment and/or diagnostics. Once the results are in, how would you like to proceed?
 
CHOOSE ONE:
 
_______G-N will call me with a treatment plan and I will approve it by phone.
_______G-N will call me when my pet is ready to go home.
            (Estimated charges have been given to me.)
_______I will call at _______o’clock.
_______I will stop by at _______ o’clock.
_______ ______________May approve a treatment plan for my pet (phone #_____________).
 
 
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Signature of owner or agent ______________________
 
Your discharge appointment time is:_______