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1412 Belcher Road, Palm Harbor, FL 34683
(727) 785-6524
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Home
About
Doctors and Staff
Reviews
Hospital Policies
Welcome Page
Map & Directions
Memberships
Privacy Statement
Virtual Kennel Tour
Boarder of the Month
Gallery
2022 Album
2021 Album
2020 Album
2019 Album
2018 Album
2017 Album
2016 Album
2015 Album
2014 Album
2013 Album
2012 Album
2011 Album
2010 Album
2009 Album
2008 Album
In Memoriam
Medical/Surgical
World Vets Trips
Services
Acupuncture
Bathing
Behavior Counseling
Boarding
Dentistry
Dermatology and Ear Disease
Dietary Counseling
Electrocardiography
Emergency Care
Exercise & Weight Loss
In-House Laboratory
Flea Control Programs
Pain Management
Pharmacy
Radiology
RX Refill
Surgery/Anesthesia
Therapeutic LASER
Wellness Plans
Puppy & Kitten Plans
Adult Dog & Cat Plans
Pet Health Info
In Case of an Emergency
Behavior Articles
Behavior Information & Socialization
Laser Surgery
Pet Health Library
Emerging Diseases
Wellness Testing
Resources
Adoption & Rescue
Dog Bite Prevention
Helping Others
Hurricane Preparation
Just For Cats
Links, Rabbits & General Info
New Products & Medications
Online Store
Pet Loss
PetDesk & Pet Perks
Online Forms
Covid-19 Protocol
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I assume responsibility for all charges incurred in the care of my pet(s). I also understand that these charges will be paid at the time of service (or release if hospitalized) and that a deposit may be required for hospitalization, surgery or major medical treatment. I understand that I may request a treatment plan and estimate of charges at any time, but that charges may vary due to my pet’s medical needs or change in condition.
I grant to Country Oaks Animal Hospital & Boarding Kennel , its representatives and employees the right to take photographs of me and/or my pet, and to copyright, use and publish the same in print and/or electronically. I agree that they may use such photographs of me and/or my pet with or without my name and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, and Web content.
The above may take photos of me and/or my pet
The above may NOT take photos of me and/or my pet
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First Pet
Pet Information
Name
Species
Breed
Color
Date of Birth
Microchip#
Sex
Spayed or Neutered
Approx. Weight (lbs)
Usual Food (type/brand)
Heartworm Prevention Used
Flea Control Used
Medications Being Given
Rabies Vaccine
Rabies Tag #
Fecal Test
Dog Only
Distemper /Parvo Vaccine
Bordetella (Kennel Cough)
Heartworm Test
Lyme Vaccine
Giardia Vaccine
Cat Only
Feline Distemper (FVRCP)
Feline Leukemia Vaccine
Felv /FIV Test
FIP Vaccine
FIV Vaccine
Second Pet
Pet Information
Name
Species
Breed
Color
Date of Birth
Microchip#
Sex
Spayed or Neutered
Approx. Weight (lbs)
Usual Food (type/brand)
Heartworm Prevention Used
Flea Control Used
Medications Being Given
Rabies Vaccine
Rabies Tag #
Fecal Test
Dog Only
Distemper /Parvo Vaccine
Bordetella (Kennel Cough)
Heartworm Test
Lyme Vaccine
Giardia Vaccine
Cat Only
Feline Distemper (FVRCP)
Feline Leukemia Vaccine
Felv /FIV Test
FIP Vaccine
FIV Vaccine
Third Pet
Pet Information
Name
Species
Breed
Color
Date of Birth
Microchip#
Sex
Spayed or Neutered
Approx. Weight (lbs)
Usual Food (type/brand)
Heartworm Prevention Used
Flea Control Used
Medications Being Given
Rabies Vaccine
Rabies Tag #
Fecal Test
Dog Only
Distemper /Parvo Vaccine
Bordetella (Kennel Cough)
Heartworm Test
Lyme Vaccine
Giardia Vaccine
Cat Only
Feline Distemper (FVRCP)
Feline Leukemia Vaccine
Felv /FIV Test
FIP Vaccine
FIV Vaccine
Is there any other information you would like to share with us? Any special needs or concerns regarding your pet's care? Any drug allergies? Seizures?
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