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Animal Hospital of Mebane - Grooming Form

Your Information

Owner's name

Phone number

Pet's name

Is your pet experiencing any signs of illness?

Is your pet experiencing any signs of illness?
A
B

Will your pet be receiving a wellness exam or vet assistant services at this appointment (this includes internal gland expression)?

Will your pet be receiving a wellness exam or vet assistant services at this appointment (this includes internal gland expression)?
A
B

Please select the service your pet is receiving:

Premium Groom: Includes teeth brushing, nail grind, ear cleaning, external glands, and a bow, bow-tie, or bandana. Bath Only and Standard Groom: Includes nail trim, ear cleaning, and external gland expression.
Please select the service your pet is receiving:
A
B
C

Please specify the length and style of cut you want:

Please specify the length and style of cut you want:
A
B
C
D
E

Select any of the add-on services you would like to add to today's groom:

Select any of the add-on services you would like to add to today's groom:

Is there anything else your groomer needs to know today?

Do we have permission to take pictures of your pet and share on social media?

Do we have permission to take pictures of your pet and share on social media?
A
B

Authorization

By signing this form you are authorizing our groomers to perform the services selected and described above, and will be financially responsible for such services.

Signature

Signature

Date

Name of person responsible for drop-off/pick-up

Phone number of person responsible for drop-off/pick-up:

Communication Preference

Communication Preference
Our groomer will use your preferred method to notify you when your pet is ready to be picked up