Patient Drop Off Form (Grooming)

  • To effectively diagnose and treat many conditions, diagnostics such as x-rays, blood work, and other procedures may need to be performed. We will notify you by phone, ask for your permission to treat, and provide an estimate before undertaking these diagnostics.

    *I also authorize RHAH to dispense Capstar—a safe, proven flea control medication for an additional $6.00 (under 25lbs) or $7.50 (over 25lbs) if any evidence of a flea infestation is noted on my animal.

    **I understand that late arrival fees will range from $5 to $15, and no-show fees will range from $20 to $35, depending on the breed and amount of time missed. I agree to pay these charges as assessed. For further details, please ask.

    I HEREBY AUTHORIZE ROCKY HILL ANIMAL HOSPITAL, ITS DOCTORS, AND STAFF TO GIVE STANDARD AND ACCEPTED TREATMENT NECESSARY FOR THE WELL BEING OF MY PET. I AGREE TO BE RESPONSIBLE FOR ANY AND ALL COSTS INCURRED IN CONNECTION WITH ANY TREATMENT DURING A GROOMING VISIT. I UNDERSTAND ONLY THE MINIMUM DIAGNOSTICS AND/OR TREATMENT WILL BE ADMINISTERED TO MY PET UNTIL I CAN BE CONTACTED FOR DIRECT AUTHORIZATION.