• Dental Consent Form

  • Breed *

  • Age Sex *

  • Appt. Date Last Meal Eaten *

  • Dental services performed for your pet today include:
    - Thorough oral cavity exam
    - Probing and charting of all teeth and any abnormalities
    - Scale and polish teeth
    - Dental x-rays
    - Formulate a treatment plan to address any problems found

  • Phone number where you can be reached between 8:30 a.m. and 3:30 p.m
    Please write email address or cell number if you would also like an email or text update when your pet is awake *

  • Clear
  • Should be Empty: