Tech Appt. Preference Form

In an effort to ensure your preferences are recorded prior to the appointment please answer the following questions below. We will not vaccinate your pet or perform services prior to speaking with you. Capturing this information ahead of time helps us prepare the room prior to your arrival and advise of possible scheduling adjustments if multiple vaccines are requested.

I would like to keep my pet protected and vaccinated against Rabies (legally required by NYC):
I would like to keep my pet protected and vaccinated against DA2PP:
I would like to keep my pet protected and vaccinated against Lyme disease:
I would like to keep my pet protected and vaccinated against Leptospirosis:
I would like to keep my pet protected and vaccinated against Bordetella (“kennel cough” vaccine required by daycare/grooming/boarding facilities):
I would like to keep my pet protected and vaccinated against Canine Influenza:
I would like to have my pet tested for Heartworms (required yearly to dispense heartworm prevention):
I would like Heartworm prevention:
I would like Flea/tick prevention:
Does your dog have a history of allergies to vaccines?
Please provide a brief health status and anything you’d like to let the technician know:

For more information on vaccines and heartworm testing/prevention, please see our Puppy 101 page on our website

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