Patient Drop-Off Form

Please complete and submit the form below.

  • For the questions below please check Yes or No. If Yes, please provide details.

  • A complete physical exam will be performed on every pet.

  • *This form may be signed electronically using the format /Firstname Lastname/. An electronic signature will carry the same legal weight as a handwritten one.
  • MM slash DD slash YYYY
COVID-19 ANNOUNCEMENT: Due to the recent increase in COVID-19 cases, we are now requiring all staff and clients to wear masks while in the building, regardless of vaccination status. The safety of both our staff and clients is of the utmost importance to Healing Paws Veterinary Hospital. Thank you for your continued support.
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