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Welcome Form

Thank you for giving us the opportunity to care for your pet. We will be happy to answer any questions you have about your pet’s health. To insure the best care possible, please take the time to fill out this form completely. Thank You!
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A Dog Standing on its Hind Legs

Welcome Form

REGISTRATION

PET HEALTH HISTORY

LAST VACCINATION DATES

Dogs

CATS

We at Circle L Animal hospital strive to provide your pet(s) with uncompromising care, in a warm safe environment. Our regular office hours are by appointment: Monday to Friday 8:00am-6:00pm, closed Tues. from 12:00pm-1:30pm, and open Saturday from 8:30am-2:00pm. We are not a 24-hour clinic, and no staff members are on premise after hours.

AUTHORIZATION

PAYMENT IS EXPECTED AT THE TIME OF SERVICES. Cash, Check, Visa, Mastercard, Amex, Discover and Care Credit are accepted. We provide quotes for routine services on request. In estimating costs for emergency services, we will keep you informed if any changes. In the event that an account is not paid full in due, it will bear interest at the rate of 24% per anum. Client further agrees to pay cost of collection and reasonable attorneys fees if this matter is referred an attorney for collection.
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If you were referred by a friend/neighbor, please provide us with their name and telephone number below so that we can apply a $30:00 Client Referral Credit to their account. Learn more about our referral program below!

HAVE YOU HEARD ABOUT OUR REFERRAL PROGRAM?

Earn credit and help pay for your veterinary care. Tell a friend about us and encourage them to come in for a visit . All they need to do is present this "referral card" to us and upon completion and payment for their office visit you will be credited $30:00 towards products and service for your next visit to 4 Paws Rehabilitation.
*This promotion is valid for new clients only and may be used once per client. Cannot be combined with other offers or promotions. Other restrictions may apply.