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Existing Client – New Pet

For additional pets, please fill out this form!

The information you provide on this form is confidential and only for the use of PMC & its agents.

Owner Info



Pet Information

Pet 1



FelineCanineOther


MaleFemaleSpayedNeuteredUnaltered



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Professional fees are to be paid at the time services are rendered. We accept cash, check Visa, Mastercard, American Express, Discover, Care Credit and Wells Fargo Health Advantage. By submitting this form electronically you are acknowledging receipt of the hospitals payment policies.

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