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HW TEST WAIVER
Thank you for giving us the opportunity to care for your pet(s)! Please complete the following to the best of your knowledge.
HEARTWORM TEST WAIVER/DECLINE
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HEARTWORM TEST WAIVER/DECLINE
A
I understand that heartworm disease, a serious condition transmitted
B
Knowing this, I decline a Heartworm test on my dog.
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Signature of Owner/Responsible agent
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Signature
Date:
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Submit
