River Heights Veterinary Clinic Admission Release Form Client Patient Date Address correction Yes No Email address Medical Record Dog: Vaccine Status: DA2 PPLC Rabies Bordetella Lymes Current Heartworm Test Current Fecal Analysis Cat: 2025

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River Heights Veterinary Clinic Admission Release Form Client Patient Date Address correction Yes No Email address Medical Record Dog: Vaccine Status: DA2 PPLC Rabies Bordetella Lymes Current Heartworm Test Current Fecal Analysis Cat: Preview on Page 1

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  1. Click ‘Get Form’ to open the River Heights Veterinary Clinic Admission Release Form in the editor.
  2. Begin by filling in your Client and Patient information at the top of the form, including the Date and Address correction options.
  3. Provide your email address for communication regarding your pet's medical record.
  4. Indicate your dog's vaccine status by checking the appropriate boxes for DA2 PPLC, Rabies, Bordetella, Lymes, and any current tests like Heartworm and Fecal Analysis.
  5. For cats, complete the vaccine status section similarly, ensuring to check for FVRCP, Rabies, and Leukemia.
  6. Answer medical history questions regarding your pet's health and any medications they may be on.
  7. Fill in the Check-in Exam section with details such as temperature and weight, along with any abnormalities noted during examination.
  8. Complete the Presenting Condition section to describe why you are visiting the clinic today.
  9. Finally, review all information for accuracy before signing at the bottom of the form to acknowledge understanding of liability.

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