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.