TEMPORARY CLINIC INFORMATION 2026

1. Click ‘Get Form’ to open the TEMPORARY CLINIC INFORMATION document in the editor.
2. Begin by entering the 'Date of Notice' at the top of the form. This is essential for record-keeping.
3. Fill in the 'Licensee's Name' and 'Licensee's Number', both marked with an asterisk, indicating they are required fields.
4. Provide your 'Daytime Phone Number' to ensure easy communication regarding the clinic.
5. In the section labeled 'ADDRESS WHERE RECORDS FOR CLINIC WILL BE KEPT', enter the complete address where all clinic records will be stored.
6. Specify the 'TEMPORARY CLINIC LOCATION' by filling out details such as on-site building or facility, street, city, and county.
7. Indicate the 'TEMPORARY CLINIC OPERATION HOURS' by providing both the date of operation and hours from start to finish.
8. List any other veterinarians participating in the operation of the clinic, including their names and license numbers.

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