New Client Information Form

  • Payment is required at the time services are rendered


    Pet information (all pets within household)
  • D/O/B
  • D/O/B
  • D/O/B
  • (We must have a copy of the previous vaccination history from a licensed Veterinarian) Each client is responsible for providing vaccination records either by fax or bringing a hard copy to RHAH upon pet drop off for boarding, grooming, etc.

    If records are not received vaccines will be given.

    BORDETELLA VACCINE IS REQUIRED AT RHAH EVERY 6 MONTHS.

  • The undersigned affirms the information provided above is correct and agrees to all conditions as stated in the above paragraph