“SPOKANE PAW PRINTS” Service Authorization

 

Parent:                                                                 Pet:
Phone:                                                                 Breed:
Vet:                                                                        Date:
Groomer:                                                            Rabies Expired:
Email:                                                                   Estimated Total Before Tax $_______ - $_______

SPECIAL INSTRUCTIONS:

Grooming Pet Releases
MATTED I am aware that my pets heavily matted and authorize Spokane Paw Prints to remove the matts by shaving or heavy brushing. Although Spokane Paw Prints will use all precautions during this process, I have been informed and understand possible reactions such as irritations, or nicks to the skin, and agree not to hold Spokane Paw Prints responsible for minor injuries to the skin that are a result of the demating process.
Initials_________
AGED PET I am aware that my pet is a “Senior Citizen” and that the process of grooming may be stressful. The stress of grooming may cause latent, unknown, or inactive conditions such as heart, kidney or liver disorders to become active and can result in illness, seizures or the death of my pet. Although Spokane Paw Prints will take reasonable care in the grooming of my pet, I acknowledge that the stress of grooming my initiate stress related problems in my pet. I agree not to hold Spokane Paw Prints responsible for reactions to grooming.
Initials_________
SPECIAL CONDITION PET I am aware the my pet has “Special Conditions” and that the process of grooming may be stressful. the stress of grooming may cause known “Special Conditions” such as arthritis, bone, joint or surgical sites to become active and inflamed, and unknown or inactive conditions such as heart, kidney or liver disorders to become active and can result in illness, seizures or death of my pet. I agree not to hold Spokane Paw Prints responsible for reactions to grooming.
Initials_________
FLEA/TICK TREATMENTS (DIP/SPOT ON TREATMENTS/FLEA SHAMPOO AND COLORING I have requested that my pet be treated for fleas, ticks/ other parasites or coloring. I have been advised that my pet may be sensitive to an ingredient in the flea/tick or color treatments. Although Spokane Paw Prints will use reasonable care and precautions in the flea/tick treatment or color procedures, I agree not to hold Spokane Paw Prints responsible for reactions to the treatment process.
Initials_________
EMERGENCY In the event of an emergency, I authorize Spokane Paw Prints to seek medical attention for my pet. I have read and understand the conditions above. I will not hold Spokane Paw Prints responsible for any pre-existing health problems my pet might have.
Initials_________
I ACKNOWLEDGE MY PET WAS PROPERLY CHECKED IN WITH THE SERVICE RECOMMENDATIONS AND ESTIMATE LISTED. I UNDERSTAND THE TYPE OF GROOMING SERVICE MY PET WILL RECEIVE TODAY AND AGREE TO PAY ACCORDING TO THE PRICE ESTIMATE ABOVE. I ALSO UNDERSTAND THAT SPOKANE PAW PRINS MUST PROTECT ALL CUSTOMERS PETS AND IF FLEAS/TICKS ARE FOUND ON MY PET, I AGREE TO PAY THE ADDITIONAL CHARGE FOR MY PET TO BE TREATED.
CUSTOMER SIGNATURE: ______________________________ DATE:____________________

 spokanepawprints.com 

3929 N Crestline St, Spokane WA 99207 • (509) 720-8773