GROOMING INSTRUCTIONS
Owner’s Name______
Pet’s Name______Breed______
Phone ______Cell ______
PET MUST BE CURRENT ON ALL VACCINES, INCLUDING BORDETELLA. If not current they will be administered at an additional cost.
Sign Here______
Bath Only (includes nail trim, ear cleaning, anal gland expressions)
Medicated Shampoo: Bacterial Fungal Flea & Tick
Grooming Instructions-PICK OPTION 1, 2, OR 3
(All grooms include bath, nail trim, anal gland expression, ear cleaning/ plucking)
1-Sanitary Groom Only (Face, Feet, and Fanny trimmed and cleaned)
2-Shave Down: Short (1/8”) ____ Medium (1/2”) ______Long (1”) ______
***If a shave down please circle the following that apply***
Leave tail long Leave ears long Leave as a “lion cut”
3-Breed Specifications:
Cocker Poodle Westie Schnauzer Scottie Yorkie Silkie
Done to Breed Standard OR follow the special instructions below: ______
I have completed and reviewed this form and hereby agree to have Pittsboro Animal Hospital groom my pet per my written instructions. I understand that I assume complete financial responsibility for all services rendered. I also understand that complete payment is due upon receipt.
______Owner ______Date
If needed, I give Pittsboro Animal Hospital permission to sedate my pet for grooming. I understand as with any drug, there is neither guarantee nor warranty that can, ethically or professionally, be made regarding such drugs.
______Owner ______Date