Dental Consent Form

Name: Linder Pet Medical Care
Address: 3150 W Sheryl Dr., Meridian, ID, 83642, United States
Telephone: 208-855-0400
Price range: $

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Please complete the form below as completely and accurately as possible.

Owner's Name *

Patient's Name *

Date

Procedure(s) *

I am the owner or agent for the owner of the above described animal and have the authority to execute this consent. I hereby consent and authorize the performance of the above procedure(s) or operation(s). I understand that during the performance of the foregoing procedure(s) or operation(s), unforeseen conditions may be revealed that necessitate an extension of the foregoing procedure(s) or operation(s) or different procedure(s) or operation(s) than those set forth above. Therefore, I hereby consent to and authorize the performance of such procedure(s) or operations(s) as are necessary and desirable in the exercise of the veterinarian’s professional judgment. I also authorize the use of appropriate anesthetics, and other medications, and I understand that hospital support personnel will be employed as deemed necessary by the veterinarian. I have been advised as to the nature of the procedure(s) or operation(s) and the risks involved. Risks with anesthesia can be preempted with presurgical diagnostic tests as recommended by the doctor. I realize that results cannot be guaranteed. If you have read and understand, please initial here: *

If you desire to decline these tests and assume all risk, please initial here:

I understand that payment for services must be made in full at the time services are completed. Please be advised that an estimate is only that and, if complications or other unforeseen circumstance arise, the fee for services could be higher. If you have any questions regarding the above described procedure(s) and its attendant risk(s), please discuss them with the doctor prior to signing this consent form. Make sure all information is filled in by the doctor prior to signing. Do not sign this consent form in blank. I have read and understand this authorization and consent to the Doctors and staff of Linder/Mobile Pet Medical Care to perform the above-mentioned procedure(s) or operation(s) and all preprocedural tests deemed necessary by the staff to do so. *

I have read and understand

Dental Cleaning & Extraction Information *

Please proceed with any and all recommended extractions, treatments, or diagnostics needed for my pet as directed by the veterinarian.
Please limit any recommended extractions, treatments, or diagnostics needed for my pet as directed by the veterinarian to (specify amount below)
Please call me first for any recommended extractions, treatments, or diagnostics needed for my pet as directed by the veterinarian. I understand that if I am unable to be reached by phone within 5 minutes my pet will receive all of the care recommended by the veterinarian today.

Pet Owner Signature *

Clear Signature

Additional Requests

Owner Email *

Today's Phone Number *

Comment

Pet-Focused, Pet-Friendly Care in Meridian, ID

Come into our clinic or schedule an appointment for our mobile unit to visit you. We will travel to homes throughout the treasure valley – Boise, Meridian, Star, Nampa, Caldwell, and more.

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Contact Info

Phone: 208-855-0400
Email: team@linderpetmed.com

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Location

3150 W Sheryl Dr.
Meridian, ID 83642

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Hours

Mon: 9AM - 5PM
Tues: 9AM - 5PM
Wed: 9AM - 5PM
Thur: 9AM - 5PM
Fri: 9AM - 5PM
Sat: 10AM - 1:30PM
Sun: Closed

Mobile Pet Clinic

If you need veterinary services in Meridian but are unable to travel, we can help! Our mobile pet care clinic will travel to your home to ensure your pet receives the help it needs. We offer mobile pet care to homes in Meridian, Eagle, Boise, Nampa, Caldwell, Star, Kuna and anywhere in the Treasure Valley. Save time and money by treating your pet in the comfort of your home!

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Dental Consent Form

Mobile Pet Clinic

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Pet-Focused, Pet-Friendly Care in Meridian, ID

Contact Info

Location

Hours

Mobile Pet Clinic

We can't wait to see you!