Dental Authorization Form

    Save time during your pet’s upcoming dental appointment! Complete your dental authorization form online before your visit.

    Get Started
    A person carefully brushes a cat's teeth

    Dental Authorization Form

    Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

    Download Form

    ADDITIONAL REQUESTS: (ADDITIONAL FEES APPLY)

    MEDICATIONS:

    Medical Emergency Authorization:

    Vaccinations and Parasite Prevention Authorization:

    Financial Authorization:

    Multiple Pet Family:

    Advance Medical Authorization:

    Anesthesia & Sedation Authorization:

    Name
    Phone Number
    Clear Signature

    Pick-Up Appt Scheduled