EADS

Client/Patient Information

• Owner's Name (required)
• Email Address (required)
• Pet's Name (required)
• Pet's Doctor (required) lbs.
• Coat Length Currently: Long Medium Short
• Pet's Coat Matted: Yes No
•  New Client

Contact number(s)

• Drop-off date
• Pick-up date
• Pick-up timeMorningNoonAfternoon

Note: We NO longer offer Sunday pick-up.

Emergency contact number(s)

• Primary Contact Number:
• Secondary Contact Number:

Drop-off Information

• Drop-off date

Note: Drop off time for all grooms is between 7:30 and 8:00 a.m. All grooms are usually ready to go by 2:00 p.m., however, earlier pick up times may be requested if necessary. If you want to request an earlier pick-up, please include the time and any other details you may wish in the "Other Information" section at the bottom of the page.

Grooming Style:

• Shave: Yes No
• Trim: Long Medium Short None
• Trim: Face Feet Tail Bottom
• Shave: Yes No
• Grooming Instructions:

Medical Attention Needed:

• Shave: Heartworm Test Dental Exam Check Ears Urine Test Vaccination Fecal Exam Check Skin  Sedation Wellness Exam Bloodwork Check Lump
• List any other services needed below:

Any other comments and imformation:

• Other Information:

Grooming Policy

All vaccinations are required for surgery, grooming, and boarding. If vaccinations have not been given by Eads Animal Hospital, please list the last place your pet was vaccinated. If vaccinations are unable to be verified, your pet will receive all required vaccinations. In case of emergency, I, the undersigned, do hereby give my authorization and consent for the doctors of the hospital to treat my pet(s) while they are being groomed or boarded at the hospital.

Eads Animal Hospital promotes a flea/tick free enviroment. If fleas are noted on the initial exam of patients admitted to the hospital a Capstar tablet will be given. This will be at and additional cost of $5.00. If ticks are noted, a flea and tick prevention will be given at an additional charge.

It is necessary for some groom patients to receive a sedative or anesthesia.
Eads Animal Hospital  does does not
have permission to give my pet a sedative or anesthetic agent. As with any sedative or anesthesia there is some risk involved. It is recommended that blood values be evaluated prior to any sedative or anesthesia.
Eads Animal Hospital does does not have permission to run this bloodwork.

• Other Information:
•