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55 Chestnut Street Cold Spring, NY 10516
(845) 265 4366
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Welcome! Thank you for giving us the oppotunity to care for your pet. We will be happy to answer any questions you may have about your pets health. To ensure the best care possible, we would like you to please take the time and fill out this form completely. Thank you!

---------------REGISTRATION------------

---------------PET HEALTH HISTORY------------

----------------AUTHORIZATION----------------

Sorry, no Billing!

I hereby authorize the veterinarian to examine, prescribe for or treat the above described pet. I assume responsibility for all charges in the care of this animal. I also understand that these charges will be paid at the time of release and that a deposit may be required for surgical treatment.

Veterinary Topics