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12117 Manchaca Rd., Austin, TX 78748
512-VET-CARE / 512-838-2273
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Forms
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Drop Off Intake Form
Drop Off Intake Form
Are you planning on dropping off your sick pet to be seen? If so, you can save some time by filling this out in advance (provided he/she is not critically ill).
Owner's Name
*
First
Last
Phone Number
*
Email
Have you been here before?
*
Yes, i’m an established client
No, i’m a new client
Pet's Name
*
Species and Gender
*
Dog
Cat
Male
Female
IF NECESSARY, may we SEDATE, do preliminary bloodwork, submit urinalysis, or take x-rays?
YES, please proceed with whatever testing and treatment the doctor feels is needed.
NO, I must be contacted before any testing or treatment is performed (other than what I may have already authorized). **Your pet will NOT receive any (or additional) treatment until we are able to reach you.**
YES, please proceed with testing and treatment UP TO the dollar amount listed below without contacting me.
Dollar ($) amount limit:
What time do you plan on picking up your pet?
Phone number where we can reach you:
Do you already have an appointment set up with us?
Yes
No
If so, when?
Do you have a doctor preference?
No
Dr. Ontiveros
Dr. Smith
Dr. Lubitz
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Find Us
Online Pharmacy
PetDesk
What's Next
1
Call us or schedule an appointment online.
2
Meet with a doctor for an initial exam.
3
Put a plan together for your pet.
Make An Appointment
