OFFICE USE ONLY:
DOG > 1 Year Old
PET WEIGHT:
W E L C O M E!
Is this your Pet’s FIRST visit to VetCare?  YES /  NO
Owner_________________________________________________________________ Date ____/_____/_____
Address_____________________________________________ City _______________ Zip Code ____________
Phone_____________________________
Payment Method:  Cash
 Check
 Credit Card (Visa/MC/Discover)
Email (please print) __________________________________________________________________________________
Service Fees applied PER PET: $3 Medical Waste Fee + $3 Fuel Charge + $1-$4 Visit Fee
Dog’s Name___________________________________________
~ Birthday ________ and __________
Month
Breed: _____________________ Color: ___________________
Year
 Purebred
 Mixed Breed
Gender:
 Male Intact
 Male Neutered
 Female Intact
 Female Spayed
Behavior:
 Friendly
 Fearful
 Aggressive
 Bites
Dog’s Health Status:
Is your Pet healthy?
 YES  NO
 YES  NO
Has your Pet had a Heartworm Test ~ 1 year?
Is your pet CURRENTLY on HEARTWORM PREVENTION?
YES  Currently Given: ___________________________________
 NO  Missed for: ____ Months ____ Years OR
 NEVER GIVEN
Is your pet CURRENTLY on FLEA/TICK PREVENTION?
YES  Currently Given: ___________________________________
 NO
**! ? IS YOUR DOG ALLERGIC TO VACCINATIONS ? !**
Previous Vaccinations
Type
Rabies 1 Year
Rabies 3 Year
DHLPP+CvK Puppy
DHLPP for Adults
Bordetella
Lyme Vax
Influenza H3N8
Rattlesnake Vax
Phone
512-696-0976
 YES  NO
Additional Information:
Date(s)
______
__
______
____________________________________________
_________________________________________________
Contact Dr Steven L Meier
drmeier@vetcarepaw.com
Web Site
vetcarepaw.com
 $35 Pet Consultation (+ cost of Therapy) *My Pet is ill and does NOT need Vaccinations*
Adult Dog Wellness Packages
Includes a Free Exam and Health Care Advice
(~$50 savings off visits to area veterinary hospitals)
 $147
-
Best Package
DHLPP for Adult Dogs
Rabies – 1 Year with Certificate
Bordetella Intranasal
Lyme
Influenza H3N8
 $112
-
Better Package
DHLPP for Adult Dogs
Rabies – 1 Year with Certificate
Bordetella Intranasal
Lyme
 $73 Good Package
- DHLPP for Adult Dogs
- Rabies – 1 Year with Certificate
- Bordetella Intranasal—1 Year
 $47 Minimum Package
- DHLPP for Adult Dogs
- Rabies – 1 Year with Certificate
 $52 Minimum Package < 2 yrs old
- DHLPP + CvK for Adult Dogs
- Rabies – 1 Year with Certificate
Adult Dogs getting vaccinations for the FIRST TIME (except Rabies – 1 Year) require a minimum of
2 Vaccinations given ~ 4 weeks apart and thereafter repeated yearly.
Wellness Package ADD ONS or Build Your Custom Package w/ 2 Items Minimum
 $14 Rabies – 1 Year & Certificate
 $32 Rattlesnake
 $33 DHLPP for Adult Dogs
 $29 Heartworm Test
 $26 Bordetella
 $46 Microchip (Lifetime registration is
 $39 Lyme
included)
 $35 Influenza H3N8
 $38 DHLPP + CvK (Dogs < 2 yrs old)
Individual Vaccinations & Care- Does NOT include exam or advice unless consult is ordered





$38
$19
$31
$44
$40
Phone
512-696-0976
DHLPP for Adult Dogs
Rabies – 1 Year with Cert.
Bordetella
Lyme
Influenza H3N8




$37 Rattlesnake
$43 DHLPP + CvK (Dogs < 2 yrs old)
$34 Heartworm Test
$51 Microchip (Lifetime registration is
included)
Contact Dr Steven L Meier
drmeier@vetcarepaw.com
Web Site
vetcarepaw.com
Iverhart Max Oral Chewables (6 tablets/6 month supply)
Prevents Heartworms and reduces intestinal parasites when given monthly
 $42 6-12 lbs
 $43 12-25 lbs
 $55 26-50 lbs
 $67 51-100 lbs
* Heartworm Testing within 1 - 2 years recommended, especially if you sometimes forget to give prevention.
Iverhart Max and other heartworm preventives that include protection against intestinal parasites only
reduce the threat and do not provide complete de-worming for your pet. A total de-worming treatment is still
recommended once a year for complete protection. See Panacur C.
Vectra 3D Topical (1 tube per month)
Kills fleas and ticks and repels ticks, mosquitoes, flies, mites, and lice
when applied topically once a month
2.5-20 lbs
21-55 lbs
56-95 lbs
>95 lbs
 $91-- 6 tubes
 $50 --3 tubes
 $25 --1 tube
 $93--6 tubes
 $52--3 tubes
 $25--1 tube
 $95--6 tubes
 $54--3 tubes
 $25--1 tube
 $97--6 tubes
 $56--3 tubes
 $25--1 tube
Panacur C Granules for Intestinal Worms (Given consecutively over 3 days)
For treatment and control of intestinal parasites, excluding tapeworms.
 $13 <10 lbs
 $39 41-50 lbs
 $19 10-20 lbs
 $45 51-60 lbs
 $29 21-30 lbs
 $53 61-80 lbs
 $34 31-40 lbs
 $57 >80 lbs
Droncit Injectable for Intestinal Tapeworms
1-Dose given whenever (white “creepy crawlies” or dried “rice grains”) are observed in the
stool, under the tail, or in Pet’s sleeping area. Transmitted by fleas (See Vectra 3D)
 $27 <10 lbs
 $63 51-80 lb
 $34 10-25 lbs
 $66 >80 lbs
 $43 26-50 lbs
CET Oral Hygiene Chews (Package of ~ 30)
Promotes dental and gum health and “Sweet Breath” when provided daily as a treat.
 $13 Petites <11lbs
Phone
512-696-0976
 $18 Medium ~ 11-25 lbs
Contact Dr Steven L Meier
drmeier@vetcarepaw.com
 $24 Large ~ 26-50+ lbs
Web Site
vetcarepaw.com