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Critter Fixer Veterinary Hospital Critter Fixer Veterinary Hospital

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New Client Registration Form

Step 1 of 3

33%
  • This field is for validation purposes and should be left unchanged.
  • First Pet

  • NameBreedMicrochip#Date of BirthColorSexSpayed or Neutered
  • RabiesDA2PParvoCoronaBordatella 
  • RabiesFELVENT-FVRCPFIP 
  • Second Pet

  • NameBreedMicrochip#Date of BirthColorSexSpayed or Neutered
  • RabiesDA2PParvoCoronaBordatella 
  • RabiesFELVENT-FVRCPFIP 
  • Third Pet

  • NameBreedMicrochip#Date of BirthColorSexSpayed or Neutered
  • RabiesDA2PParvoCoronaBordatella 
  • RabiesFELVENT-FVRCPFIP 
  • I/we hereby authorize the veterinarians to examine, prescribe for, or treat my pets (s). I/we assume full responsibility for all charges incurred in the care of this/these animal(s). I/we also understand that these charges will be paid in full at the time of release and that a deposit may be required for certain surgical treatments or other procedures.

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  • South Byron
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Watch “Critter Fixers: Country Vets” on National Geographic Wild March 7th at 10/9c

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