Grooming Release Form

Bath, Pedicure, Anal Gland Expression, and Ear CleaningPrices of grooms may vary depending on condition of pets coat and/or their behavior.

PROOF OF RABIES VACCINE IS REQUIRED FOR GROOMING.
If proof of Rabies is not provided, then your pet will receive a Rabies vaccine. This will be done at the owner’s expense.We will use a flea and/or tick product if fleas or ticks are seen on your pet during grooming. This is done at the owner’s expense. (Approximately $5.00 - $20.00)
If your pet's coat is too matted to clip as discussed, Town & Country Animal Hospital has permission to cut the hair shorter if necessary. Close clips may run a risk of razor burn.
- Yes
- No
- Call me
If deemed necessary Town & Country Animal Hospital has permission to sedate or anesthetize my pet. I understand that there can be risks with such a procedure.
- Yes
- No
- Call me
If the groomer detects a problem with your pet during grooming would you like an available veterinary to do an exam. ($23.50 - Brief or $45.00 - Diagnostic)
- Yes
- No
- Call me
- Bows & Scarfs (Free)
- Painted Nails ($5.00)
If you refer someone you will get a $5.00 credit on your account for your next groom or any veterinary services.
This form will be enforced unless a written request for changes is made.
Name
First Last
Phone
Date
Date Format: MM slash DD slash YYYY

PROOF OF RABIES VACCINE IS REQUIRED FOR GROOMING.