White Oak Animal Hospital
Grooming Check-In

Owner's Name

Pet's Name

Date

All groomings include:	Bath
	Ear Pluck
	Ear Cleaning
	Nail Trim
	Anal Glands Expressed (small glands inside the rectum)
Extra Services: (please check if desired - Additional Cost)	Dremmel Nails (sanding nails down)
	Leave on Conditioner
	Medicated Bath
	Administer CAPSTAR flea tablet
	Apply FRONTLINE flea product

Please give instructions / comments on how you would like your pet groomed:


Additional services to be performed:


Medications to go home:

Occasionally, our groomer may note a possible health problem with your pet (i.e. ear infection, skin condition, flea allergy), if so, may we have permission to examine your pet? THERE WILL BE AN ADDITIONAL CHARGE FOR THE EXAM yes no

Some pets are very difficult to groom. This makes it extremely hard for our groomer to give your pet a quality grooming. If this occurs, may we have permission to sedate your pet? THERE WILL BE AN ADDITIONAL CHARGE FOR THE SEDATION yes no

Phone Number


Pick-up Time