South Point Pet Hospital `
#108 2828 152nd Street, Surrey B.C.
604-531-8222
LION SHAVE/CAT GROOM AUTHORIZATION FORM
Patient ______Date______
Has your cat had anything to eat or drink this morning? Yes_____ No_____
Today your cat is being groomed by our Veterinary Technicians. Please carefully fill out this form so we may complete the groom to your specific preferences.
*Please note that sedation is required for all feline grooming appointments. This allows us to work with your cat quickly and effortlessly, with minimal stress for them.
Please check the following options you would like done today:
· Sedation __✔__ - $80 (required)
· Health Exam _____ - $55 (required if pet hasn't been seen by our Dr. in last year)
· Blood Panel _____ (if deemed necessary by Dr. - prices vary by test)
· Lion Shave _____ - $57.95
· Nail Trim _____ - $0.00
· Ear Cleaning _____ - $15.00
· Dematting _____ - $15.95 - $47.95
· Tidy-Up: Shave underside _____ - $15.95 - $47.95
Shave anal region _____ - $15.95 - $47.95
· Other (please specify) ______
If you selected a Lion Shave to be done today, please indicate on the outline below how you
would like your cat's hair trimmed.
Mane: Short _____ Long _____
Legs: High "socks" _____ Low "socks" _____
Tail: Leave full _____ "Pom Pom" tip ____
Please leave two numbers we can reach you at during your pets stay.
1) ______2) ______
I am the owner of the above mentioned pet and authorize South Point Pet Hospital to proceed with the above mentioned procedures. I fully understand the risks involved with sedation and authorize the Veterinarian to perform any and all life saving procedures if the need arises.
Client Signature ______Staff Member Signature ______