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Thank you for giving us the opportunity to care for your pet. We’ll be happy to answer any questions you have about your pet’s health. To insure the best care possible, please take the time to fill in this form completely. Thank you!
I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet. I assume the responsibility for all charges incurred in the care of this animal. I also understand that these changes will be paid at the time of release and that a deposit may be required for surgical treatment.
4636 West Tuscarawas Street,Canton, OH 44708
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