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Mod 1

Bathing Drop Off Form (plus medical services if needed)

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IF YOUR PET NEEDS OTHER SERVICES SUCH AS AN EXAM OR VACCINES TODAY PLEASE COMPLETE THE FOLLOWING SECTION

Required vaccines are as follows: Canines- Rabies, Distemper/Parvo/Lepto and a intestinal parasite check, Felines- Rabies and CVRP.

**VACCINE AND DIAGNSOTIC TREATMENT REQUESTED/REQUIRED SECTION (initial all that apply)**

PROFESSIONAL FEES ARE TO BE PAID AT THE TIME SERVICES ARE PERFORMED. In admitting my pet for diagnostics and treatment, I authorize the veterinarians of Babcock Hills Veterinary Hospital, and their support staff, to administer such treatment and/or perform such diagnostic procedures as deemed necessary. I have read this authorization

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