First Pet
Select One:*
- Dog
- Cat
Pet Information

Name Breed Microchip# Date of Birth Color Sex Spayed or Neutered
When vaccines and tests are DUE

Rabies DA2PP Bordetella Leptospirosis Influenza Fecal Heartworm Test
When vaccines and tests are DUE

Rabies FVRCP FELV Fecal FIV/FELV
Second Pet
Select One:
- Dog
- Cat
Pet Information

Name Breed Microchip# Date of Birth Color Sex Spayed or Neutered
When vaccines and tests are DUE

Rabies DA2PP Bordetella Leptospirosis Influenza Fecal Heartworm Test
When vaccines and tests are DUE

Rabies FVRCP FELV Fecal FIV/FELV
Third Pet
Select One:
- Dog
- Cat
Pet Information

Name Breed Microchip# Date of Birth Color Sex Spayed or Neutered
When vaccines and tests are DUE

Rabies DA2PP Bordetella Leptospirosis Influenza Fecal Heartworm Test
When vaccines and tests are DUE

Rabies FVRCP FELV Fecal FIV/FELV

I/we hereby authorize the veterinarians at Lone Star Pet Vet to examine, prescribe for, and/or treat my pet/pet’s. I will submit medical records prior to my pet/pet’s exam visit for their review. I/we assume full responsibility for all charges incurred in the care of this/these animal(s). I/we also understand that these charges will be paid in full at the end of the visit and that a deposit may be required for certain procedures prior to the exam visit.
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Email

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New Clients

First Pet

Rabies	DA2PP	Bordetella	Leptospirosis	Influenza	Fecal	Heartworm Test

Rabies	FVRCP	FELV	Fecal	FIV/FELV

Rabies	FVRCP	FELV	Fecal	FIV/FELV

Rabies	FVRCP	FELV	Fecal	FIV/FELV