Grooming Consent Form Date* MM slash DD slash YYYY Owner* First Last Pet Info*NameBreedAge Does your pet have any allergies/skin allergies?* Yes No Please describe your pet's allergies*Does your pet have mobility issues?* Yes No Please describe your pet's mobility issues*Does your pet have any ongoing medical conditions?* Yes No Please describe your pet's conditions*Has your pet shown aversion/dislike of any of the following Baths Loud noises (like blow dryers) Being brushed Being Up On High Surfaces Being In A Cage Nail Trims Anal Gland Expression Other if not listed above Grooming InstructionsI 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. Owner's Initials* 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. Signature*CAPTCHA