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Preventative Care Drop Off Form

Please complete the following form before your visit!


Preventative Care Drop Off Form

Please read and fill this form out if you are dropping your pet for a routine veterinary visit today. A doctor or other veterinary staff may need to contact you in regards to selected services selected or performed. Please leave the best contact information for today.

Preventative Care Services

A visit by veterinary staff is required for vaccination appointments

Vaccines: Please mark, or confirm, which vaccination(s) you would like updated today


I hereby authorize the veterinarian and Fitchburg Veterinary Hospital to perform the procedure or treatment(s) marked above. I am the legal owner/agent for the animal on this form. I understand full payment is expected at time of discharge.

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