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Consent Form For Medical Services

***If your pet needs vaccines and/or diagnostics, this form must be completed in conjunction with either the Boarding Registration form, Dental authorization form, any Surgical release form, or Hospitalization form.***

***For the protection of your pet, documentation of current proof of vaccines must be provided at time of check-in, unless we are administering them while your pet is here.***

Canine ***Requirements for: drop off appointment, surgery,dental***: Rabies, Distemper/Parvo, Leptospirosis, and a negative Fecal exam within the last 12 months. ***Requirements for boarding***: Rabies, Distemper/Parvo, Leptospirosis, Bordetella, Canine Influenza H3N2, and a negative Fecal exam within the last 12 months. We also highly recommend canine influenza H3N8 for boarding as well, all though it is not required.

If your pet (canine only) is boarding with us, should you elect not to vaccinate for CIV H3N8 (the original influenza), you will be asked to sign a waiver releasing Babcock Hills Veterinary Hospital from any liability should your pet become ill with CIV H3N8 while boarding.

Feline ***Requirement-***For drop off appointment, surgery, dental, or boarding***: Rabies and Distemper (CVRP)

**A physical exam is done and charged for prior to vaccinating when required or requested vaccinations are given. There is not a physical exam fee for the kennel cough vaccination when done alone.**

***EXAM,VACCINE AND DIAGNSOTIC TREATMENT REQUESTED (INITIAL ALL THAT APPLY)***

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