P.E.T.S. Wichita Falls Wellness Form

  • MM slash DD slash YYYY
  • By typing my name above and submitting this form, I hereby agree that the procedures agreed upon in the followup call are approved by me. To my knowledge my cat/dog is healthy and has not bitten anyone in the past ten days. I agree to hold harmless and release from liability P.E.T.S. Low Cost Spay and Neuter Clinic from any illness or fatality that results from my pet receiving treatment(s).
  • Pet 1

    Please fill out the pet section for each of the pets you have scheduled for appointment today.
  • Pet 2

    If you have scheduled 2 pets, please fill in this section for your 2nd pet.
  • Pet 3

    If you have scheduled 3 pets, please fill in this section for your 3rd pet.
  • Pet 4

    If you have scheduled 4 pets, please fill in this section for your 4th pet.
  • Pet 5

    If you have scheduled 5 pets, please fill in this section for your 5th pet.
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