Grooming Drop-Off Form

SECTION 1: PET PARENT INFORMATION

Client Name

Phone Number

Email Address

I verify that all owner contact information listed above is correct and up to date.

Alternate Pickup Person (if applicable)- Will someone other than the primary owner be picking up your pet?

No — The primary owner will pick up the pet Yes — Please complete the information below

Pickup Person’s First & Last Name:

Phone Number

Relationship to Owner

I authorize the individual listed above to pick up my pet from Arnold Veterinary Hospital.

SECTION 2: PET INFORMATION & PICKUP

Pet's Name

Species

Dog Cat

Breed

Age

Requested Pickup Time

Date

Time

SECTION 3: GROOMING PREFERENCES

Please describe your preferred haircut, length, style, or other grooming goals. Photos or reference images may be provided to help communicate your preferences.

Areas of Particular Concern or Preference

Other

What would you like our groomer to accomplish during your pet’s visit? Is there anything you would like our groomer to avoid, or any other specifications?

Please understand that the final haircut may depend on your pet’s coat condition, matting, skin health, behavior, and comfort. Our groomer will always prioritize your pet’s safety and well-being.

SECTION 4: MEDICAL HISTORY & HEALTH CONCERNS

Although your pet is visiting for grooming only, our team wants to be aware of any health concerns that could affect their comfort or safety.

Was your pet given any pre-meds (Gabapentin, Trazadone, etc.) prior to your appointment today?

No Yes

If yes, please list the time

Does your pet have any current or previous medical conditions our groomer should know about?

No Yes

If Yes, please check any conditions or concerns that apply:

Skin allergies or skin sensitivities or a history of skin infections or hot spots Ear infections or recurring ear problems Arthritis, mobility issues, or difficulty standing for long periods Heart disease or respiratory concerns Seizures or other neurological conditions Anxiety, fear, or stress during grooming Sensitivity to handling or certain areas of the body, History of biting or other handling concerns

Other

Additional information about medications, sensitivities, or handling needs:

Please notify our team of any new health concerns or changes in your pet’s condition before grooming begins.

SECTION 5: AUTHORIZATION FOR UNEXPECTED MEDICAL NEEDS

Grooming may reveal health concerns that were not apparent before your pet’s appointment. Examples include skin infections, ear infections, irritated skin, wounds, external parasites, or other conditions that may require veterinary attention. Because this appointment is scheduled for grooming only, veterinary examination or treatment is not automatically included in the grooming service. If a medical concern arises, our team will determine the appropriate next steps based on your authorization and your pet’s needs.

Please select ONE option below:

OPTION A — CONTACT ME FIRST

If a medical concern is identified, I authorize Arnold Veterinary Hospital to contact me to discuss the findings, recommendations, and estimated costs before proceeding with any non-emergency veterinary examination or treatment.

I understand that this may delay treatment or require my pet to return for a separate medical appointment.

OPTION B — LIMITED TREATMENT AUTHORIZATION

If a medical concern is identified, I authorize Arnold Veterinary Hospital to provide appropriate veterinary examination and treatment for the concern identified, provided the anticipated total cost does not exceed the amount specified below.

Maximum Authorized Cost

I understand that this authorization applies only to the medical concerns identified during this grooming visit and does not authorize unrelated procedures or treatment beyond the stated cost limit.

I understand that the veterinarian will determine whether treatment is medically appropriate and that additional authorization will be required if the anticipated cost exceeds my stated limit. Important: This authorization does not replace the need for veterinary assessment or guarantee that treatment can be provided during the grooming appointment. If additional diagnostics, procedures, or follow-up care are recommended, our team will discuss those recommendations with me.

In the event of an urgent medical concern, the hospital will make reasonable efforts to contact me promptly and discuss appropriate next steps.

SECTION 6: OPTIONAL GROOMING ADD-ON SERVICES

Would you like to add any of the following services to your pet’s appointment, if appropriate?

Other

Please note that availability and suitability may depend on your pet’s condition, temperament, and grooming needs. Additional charges may apply. I authorize the selected additional grooming services and understand that applicable charges will be added to my grooming invoice.

Initials

SECTION 7: SEDATION & PATIENT SAFETY

Some pets may experience significant fear, anxiety, or difficulty tolerating grooming. If your pet cannot be groomed safely or comfortably, our team may recommend discussing additional options with a veterinarian.

If sedation or prescription pre-visit medication is being considered, veterinary evaluation and authorization are required. Sedation is not guaranteed to be available or appropriate during a grooming-only appointment.

I understand that sedation or medication may be recommended only when deemed medically appropriate by a veterinarian. I understand that any required examination, medication, sedation, monitoring, or related veterinary services may involve additional charges and may require a separate appointment. I understand that if my pet cannot be groomed safely or comfortably, grooming may be stopped or modified, and I may be asked to arrange an alternative plan.

Has your pet previously required medication or sedation for grooming?

No Yes

If yes, please provide details below

SECTION 8: VACCINATION & PARASITE PREVENTION REQUIREMENTS

PLEASE READ CAREFULLY — REQUIRED FOR ALL GROOMING

All animals must be current on required vaccines for the species including, Distemper/parvo combo vaccine, Leptospirosis, Bordatella (kennel cough), Canine Influenza and Rabies vaccines; and be on flea prevention, with a current negative fecal test (within the past year) in order to be dropped off for grooming.

Any external parasites (including fleas) found during your pet’s visit will be treated at the owner’s expense with a one time treatment of a fast acting flea treatment ($10-$35 by pet weight).

I understand that Maryland State Law requires rabies vaccination for dogs, cats and ferrets. I also understand that Arnold Veterinary Hospital requires all vaccines to be current for any patient staying in-house. If vaccinations are not current, or if Arnold Veterinary Hospital does not have documentation of current vaccinations at the time of admission, the hospital may update the required vaccinations as necessary in accordance with its policies and applicable law. Associated charges will apply.

I understand that my pet must meet the hospital’s vaccination, parasite prevention, and fecal testing requirements before being admitted for grooming.

I have read and understand the vaccination and parasite prevention requirements listed above.

SECTION 9: PHOTOGRAPHY & SOCIAL MEDIA CONSENT

Arnold Veterinary Hospital enjoys sharing photos of our patients and celebrating the pets in our community.

I understand that Arnold Veterinary Hospital may take photographs of my pet during their visit and use those photographs on the hospital’s social media platforms, including Facebook and Instagram, and/or on the clinic website.

I understand that only my pet’s first name may be used with any photograph. My first and last name will not be used in any multimedia content.

Please select ONE:

ACCEPT — I consent to Arnold Veterinary Hospital taking photographs of my pet and using them for the purposes described above. DECLINE — I do not consent to my pet’s photographs being used for social media or website purposes.

SECTION 10: OWNER ACKNOWLEDGMENT & SIGNATURE

By signing below, I acknowledge that:

I have provided accurate contact information and relevant information about my pet’s health and grooming needs. I understand that payment will be required at time of drop-off, and any additional charges will be charged at pick-up. I understand that I must pick up no later than 6:00pm unless otherwise communicated with the hospital team. If I am late in picking my pet up, I understand that I will incur an additional late fee. If I do not pick up my pet by hospital closing, I understand that my pet will be medically boarded overnight at Arnold Pet Station, and an additional fee will be accrued for boarding.

I understand that this is a grooming-only appointment and does not include a scheduled veterinary examination or medical treatment.

I understand that grooming may reveal medical concerns requiring veterinary assessment, and I have selected my preferred authorization option in Section 5.

I understand that additional grooming services, veterinary care, medications, or sedation may incur additional charges.

I understand that grooming may need to be modified, discontinued, or rescheduled if my pet’s safety or comfort is a concern.

I have read and understand the hospital’s vaccination, parasite prevention, and fecal testing requirements.

Owner/Authorized Representative Printed Name

Signature

Date

Time

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