Gateway Pet Guardians Clinic Appointment Request
Please fill out every box and complete a separate form for each pet needing services.
Your home address (please include zip code)
Your phone number
Date/Time Preference (our clinic is open Tues & Thurs 2-6 p.m.) We are currently taking appts for Jan 14 and beyond.
Veterinary Services requested (please select all that apply)
Rabies Vaccine- $15
Distemper/Parvo Vaccine- - $15
Bordetella Vaccine- - $15 (dogs only)
Heartworm test-$15 (dogs only)
FIV/FeLV test- $20 (cats only)
Flea/Tick Preventative- $10
Heartworm Preventative- $40/6 months or $70/12 months
Anal Gland Expression- $10
Canine Flu Vaccine- $15
Intact/unaltered (not spayed) female
Intact/unaltered (not neutered) male
Pet Age or date of birth
Did you adopt this pet through Gateway Pet Guardians?
List any other notes, questions or concerns here
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Gateway Pet Guardians.