Client Information Form 2021-02-04T23:24:24+00:00

Client Information Form

Thank you for bringing your pet to Dentistry for Animals. We require payment in full at the time of service. We regret that we do not have a payment plan.

In order to establish an accurate file, please complete the following form:

Type your full name in box above, owner's signature will be collected at the office.

Cancellation Policy: In signing this form, you acknowledge that your deposit of $175.00 is non-refundable unless 48 business hours is given prior to cancellation of your appointment.