8693 Cherry Lane Laurel, MD 20707 Phone:(301)498-8387
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Home
About
Who We Are
View Our Photos
Meet Our Doctors
Read Our Reviews
Pain Management
X-Rays & Diagnostics
Dogs & Cats
Exams & Vaccinations
Dentistry
Allergy Treatment
Surgery
Spay & Neuter
Laser Therapy
Avian & Exotics
Exams & Vaccinations
Surgery
Resources
Referrals
Client Forms
Employment Application
Contact
New Pet Registration
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Owner Name
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Pet Information
Pet Name
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Age or date of birth
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Gender
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Has your pet been spayed or neutered?
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Has your pet visited a veterinarian before?
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If they have visited a veterinarian before, where?
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If your pet is on any medications (including heartworm prevention and flea & tick medication), please specify below
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Previous medical records (if applicable)
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When is your appointment date?
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General Authorization
I hereby authorize Lakeside Veterinary Center, LLC veterinarian to examine, prescribe for, or otherwise treat my pet. I assume responsibility for all charges incurred in the care for my pet and understand these charges will be paid in full at the time of my pet's release. I further understand that a deposit may be required for surgical or inpatient care. By submitting this, I verify that I am 18 years of age or older.
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