Medicine Recheck Form

Medicine Recheck Form - Columbia
Name
Name
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Your pet is being seen today to have a diagnostic procedure/testing or re-evaluation. In cases requiring abdominal ultrasound, it is necessary to clip hair on your pet's abdominal area.

Please describe the following

Name of contact person
Name of contact person
First
Last
I grant AVIM&O, its representatives and employees the right to take photographs of my pet and me. I authorize AVIM&O, its assigns and transferees to copyright, use and publish the same in print and/or electronically.

If you are dropping off for the day, please be aware that delays occur in procedures and discharges due to emergencies. Please allow for extra time when picking up your pet. We will do our best to accommodate you as quickly as possible. Thank you for understanding.