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Fear Free Certified Clinic   |  

(703) 643-9797 |   6940 S Kings Hwy #208, Alexandria, VA 22310

Harmony Animal Hospital

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Grooming Consent Form

  • MM slash DD slash YYYY
  • NameBreedAge 
  • I understand that for the health and safety of {PATIENT_NAME} and the staff of Harmony Animal Hospital, my pet needs to be up to date on the following vaccinations/tests:

    Dogs: Annual Physical (within the past year), Rabies Vaccine, Distemper/Parvo Vaccine, Bordetella Vaccine, Negative Fecal Test (within the past year)

    Cats: Annual Physical (within the past year), Rabies Vaccine, FVRCP Vaccine, Negative Fecal Test (within the past year)

    If I am unable to provide proof of the above listed tests/vaccines Harmony Animal Hospital reserves the right to update any needed tests/vaccines at the owner's expense.

    I verify that my pet has not, to my knowledge, bitten a person within the past 10 days.

  • By my signature below I understand that payment must be rendered in full at the time of service. Accepted methods of payment are cash, Visa/Mastercard/Discover/AmEx. I understand that tips to the groomer will be made in cash only. There will a be a $35/pet Fee for NoShows or Same Day Cancellations. We would be happy to provide an estimate for grooming services upon request.

Harmony Animal Hospital

Phone: (703) 643-9797 Address: 6940 S Kings Hwy #208, Alexandria, VA 22310

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