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Client Information. Thank you for completing this form as accurately as possible

Pet Information. Please fill out a new form for each pet individually.

Medical History

All pets must be current on Rabies, (Canine and/or Feline) Distemper/Parvovirus Combinations, and Bordetella vaccinations to stay at Westchester Animal Clinic. If your pet has had previous vaccinations, please bring written proof. If proper documentation cannot be provided or your pet is due for the vaccinations they will be administered during your pet's stay.

Consent for Treatment