a vet team member on the computer in the front lobby

Client Authorization Forms

If you need to fill out one or more forms prior to your pet’s appointment or drop-off, please see below to complete the form(s) online. This will save you time and paperwork. Please let us know if you have questions by calling (325) 698-3090.

New Client Registration Form

Client Registration Form

Owner Information

Name *

Name

First

Last

Address *

Address

City

State/Province

Zip/Postal

Phone *

Work Phone

Email *

This will not be released to any outside companies. We use it for sending reminders. This is part of a go green initiative.

Professional fees are to be paid at the completion of services.

Pet Information

Pet Name *

Age *

Species *

Sex *

Spayed or Neutered *

Breed *

Color *

Date of Last Known Vaccinations *

Microchip *

If canine, is he/she on heartworm prevention? *

Captcha

If you are human, leave this field blank.

Surgical Authorization Form

Owner's Name *

Owner's Name

First

Last

Pet's Name *

Email *

Best Contact Number *

Surgical Procedure Being Performed *

*Please note there is an extra fee for any spays that are in heat or pregnant. *
*If external parasites are observed on your pet, they will be treated at an extra fee.*

Additional Service

THESE CAN BE DONE FOR AN ADDITIONAL FEE:

Please indicate any elective procedures you would like done while your pet is with us:

Anal Glands

Heartworm Test

Nail Trim

Leukemia Test

Clean Ears

OtherOther

Vaccinations

Rabies

Rattlesnake

Distemper/Parvo

Feline Distemper

Kennel Cough

Feline Leukemia

Optional services that are part of the standard care

Pre-anesthetic Testing

YES - I would like my pet to have the pre-anesthetic blood screen

NO - I decline and accept the risk for my pet

This is a rapid screening blood test for liver and kidney function. While this test does not guarantee the absence of anesthetic complications, it does greatly reduce risk. $52 additional cost

Intravenous Catheter *

YES - I would like for my pet to have intravenous fluids during surgery

NO - I do not want intravenous fluids for my pet

This ensures a direct route for emergency medications in the event of a cardiac or respiratory crisis. Intravenous fluids also help improve your pet's recovery from anesthesia. $49 additional cost

Pain Medications *

YES - I would like my pet to have pain medications

NO - I do not want my pet to have pain medication

We recommend the use of pain medications to relieve any discomfort your pet may experience following surgery. Canine: $15-$55 additional cost, depending on weight Feline: $20 additional cost

Knowledge of Risk Statement

I authorize and direct the veterinarians of Dearing Veterinary Clinic to perform surgical procedures as deemed necessary for my pet. I understand that there may be risk involved in these procedures and I realize the results cannot be guaranteed. I understand that during the procedure unforeseen conditions may be revealed that necessitates an extension or variance in the procedure.

Signature *

Clear

I understand that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to this agreement.

Today's Date *

Captcha

If you are human, leave this field blank.

Pet Drop-Off Form

Name *

Name

First

Last

Pet's Name *

Drop Off Date *

Drop Off Time *

Phone *

Email *

Do you want to be contacted prior to any treatment? *

Yes

Reason for Visit *

Duration of Problems *

Check Any that Apply

Vomiting

Diarrhea

Scooting

Not Eating

Rash

Sneezing

Weight Loss

Weight Gain

Coughing

Itching

Lethargic

Drinking a lot

Not Drinking

We will examine your pet as time allows. All efforts will be made to get it done in a timely manner. Some days are very tightly booked. Please call to check on your pet if you have not heard from us within a few hours.

We close at 6:00 PM Monday through Thursday. We close at 5:00 PM on Friday.

Captcha

If you are human, leave this field blank.

Boarding Admission Form

Name *

Name

First

Last

Admission Date *

Planned Pick-up Date *

Pick-Up Hours

Please note that Saturday and Sunday pick-up is only available between 5:00 PM and 5:30 PM. Monday through Thursday hours are 8:00 AM to 6:00 PM, and on Friday, we are open until 5:00 PM.

Emergency Contact Number *

Email *

Repeater

If you are admitting more than one pet, please select "Add Another Pet".

Pet Name *

Add Another Pet Remove a Pet

Please list any toys or bedding left with your pet *

Parasite Treatment

Please note that any animal with with external parasites will be treated upon arrival at the owners expense.

While boarding, may we provide any of the following services?

Exam (no charge)

Intestinal Parasite Exam

Kennel Cough Vac

Nail Trim

Vaccinations

Heartworm Test

Bath on Last Day

OtherOther

Please list any special instructions and medications needed for your pet.

How much do you feed? *

When do you feed? *

Free Feed

Consent for Emergency Care *

I consent

Should an emergency medical problem arise in my absence, I authorize the staff and doctors to perform such necessary treatment as they consider in the best interest of my pet. I also understand that payment for such service is required when my pets are released.

Signature *

Clear

I understand that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to this agreement.

Today's Date *

Captcha

If you are human, leave this field blank.

1133 FM 89, Abilene, TX 79606

325-698-3090

Online Pharmacy

Online Pharmacy

1133 FM 89, Abilene, TX 79606

Client Authorization Forms

Owner Information

Pet Information

Additional Service

THESE CAN BE DONE FOR AN ADDITIONAL FEE:

Optional services that are part of the standard care

Knowledge of Risk Statement

Pick-Up Hours

Repeater

Parasite Treatment

1133 FM 89, Abilene, TX 79606

325-698-3090

1133 FM 89, Abilene, TX 79606

325-698-3090