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Customer Information
Thank you for choosing Vienna Pet Spaw. We are looking forward to meeting you and your pet! Please help us get to know you by filling out this short form.
Email address *
(Human!) Customer Name *
Your answer
Phone Number (mobile preferred) *
Your answer
Secondary Phone Number
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Emergency Contact (someone other than you name & phone) *
Your answer
Home Address *
Your answer
Dog's Name *
Your answer
Dog's Breed (best guess is okay!) *
Your answer
What Veterinarian do you use? *
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Is your dog up to date on rabies, distemper, and bordatella vaccines? *please bring photo copy of most recent record with you for first appointment* *
May your dog have treats? *
Does your dog have any skin allergies? *
If yes, please explain allergy.
Your answer
We only express anal glands and pluck ears by request, will your dog require either of these services? If yes, please explain.
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Does your dog have any behavioral issues you would like to address? (Dog aggressive, afraid of men, fearful of crate, bites for nails etc.)
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Is your dog prone to hot spots, ear infections, or eye issues? *
Is there anything else we should know about your dog?
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Although accidents are rare, there is always a risk when dealing with animals. Grooming tools are sharp, and although we use extreme care in all situations, possible problems could occur including cuts, scratches, kwiking of nails etc. I understand and assume this risk. Please initial. *
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This release gives Vienna Pet Spaw full authorization to seek medical treatment from the nearest vet clinic, in the case of any medical emergencies (accidents, seizures, cardiac arrest etc) while in the care of Vienna Pet Spaw. Please initial. *
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