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ER Intake Form

Please complete the intake form below:

ER Intake Form

Owner Name:(Required)

Please read and acknowledge the following:

Due to space and liability constraints, we are not able to have clients remain with patients during examinations, vitals checks, treatments, and procedures. For clients who prefer to stay with their pets throughout the entire treatment process, we recommend finding a VEG (https://www.veterinaryemergencygroup.com/) location.

Read and acknowledged(Required)