OFFICE USE ONLY:
DOG
PET WEIGHT:
WELCOME
? HAVE YOU SIGNED UP SO WE CAN KEEP TRACK OF ARRIVAL ORDER ?
FIRST visit to VetCare?  YES /  NO Just fill in owner & Pet name, Ill Visit or Wellness Care selected
Owner_________________________________________________________________ Date ____/_____/_____
Address_____________________________________________ City _______________ Zip Code ____________
Phone_____________________________________
Cell Phone_____________________________________
May we contact you by email with Annual Wellness Reminders?
 YES
 NO
Email (please print) ______________________________________________
How did you hear about our mobile wellness clinic?
 Walgreens Store Flyer
 Walgreens Outside Store Sign  Friend
 Newspaper
 Drove by - Saw Clinic
 Walgreens Pharmacy Flyer  vetcarepaw.com Website
 Craigslist  Other_____________________________
 Check (We do not hold checks)
 Credit Card (Visa/MasterCard/Discover)
Dog’s Name___________________________________________
~ Birthday ________ and __________
Method of Payment:
 Cash
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
 My Pet is Ill and does not
Has your Pet had a Heartworm Test ~ 1 year?
 YES  NO
need a Wellness Care Package
Does your Pet have a chronic disease?
 YES  NO
Pet Consultation
Does your Pet have a current disease?
 YES  NO
Has your Pet had previous vaccinations?
 YES  NO
+ Diagnostics and Therapy
 YES  NO
(1st Visit and Follow-Ups)
**! ? IS YOUR DOG ALLERGIC TO VACCINATIONS ? !**
Previous Vaccinations
Type
$30 Fee
Additional Information:
~ Date(s)
Rabies 1 Year
Rabies 3 Year*
DHLPP+CvK Puppy
DHLPP for Adults
Bordetella
Lyme Vax
Influenza H3N8
Rattlesnake Vax
Service FEES Applied per Pet
Medical Waste Fee = $3.00
* We do not recommend and is not available
~ Visit Fee = Permits to Visit = $1.00 - $5.00
Only On Weekends
512-696-0976
______
______
~ Fuel Surcharge = Depending on Gas Prices = $3.00
Contact Dr Steven L Meier
drmeier@vetcarepaw.com
Web Site
vetcarepaw.com
Adult Dog Wellness Packages
Includes a Free Exam and Health Care Advice
Saving ~ $50 Off Visits to Area Veterinary Hospitals
 $129 Best Package
- DHLPP for Adult Dogs
- Rabies – 1 Year with Certificate
- Bordetella Intranasal
- Lyme
- Influenza H3N8
 $98 Better Package
- DHLPP for Adult Dogs
- Rabies – 1 Year with Certificate
- Bordetella Intranasal
- Lyme
 $63 Good Package
- DHLPP for Adult Dogs
- Rabies – 1 Year with Certificate
- Bordetella Intranasal
 $41 Minimum Package
- DHLPP for Adult Dogs
- Rabies – 1 Year with Certificate
 $45 Minimum Package < 2 yrs old + Add On
- DHLPP + CvK for Adult Dogs
- Rabies – 1 Year with Certificate
Adult Dogs first time to be given any vaccination (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
 $12 Rabies – 1 Year & Certificate
 $25 Heartworm Test
 $29 DHLPP for Adult Dogs
 $42 resQ Microchip (registration included)
 $22 Bordetella
 $71 Adult Dog Blood Profile (1-6 years)
 $35 Lyme
 $163 Senior Dog Blood Profile (7 + years)
 $31 Influenza H3N8
 $33 DHLPP + CvK for Adult Dogs < 2 yrs old
 $28 Rattlesnake
Individual Vaccinations - Do not include exam or advice unless Consultation is ordered




$34 DHLPP for Adult Dogs
$17 Rabies – 1 Year with Certificate
$27 Bordetella
$40 Lyme
 $36 Influenza H3N8
 $33 Rattlesnake
 $38 DHLPP + CvK for Adult Dogs < 2 yrs
Individual Care - Does not include exam or advice unless Consultation is ordered




Only On Weekends
512-696-0976
$30 Heartworm Test
$81 Adult Dog Blood Profile (1-6 years)
$173 Senior Dog Blood Profile (7+ years)
$47 resQ Microchip (registration 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
 $36 6-12 lbs
 $38 12-25 lbs
 $49 26-50 lbs
 $61 51-100 lbs
* Heartworm Test within 1 - 2 years recommended to purchase especially if you sometimes forget to give it *
Iverhart Max chewables (and other heartworm preventives) only reduce the threat of intestinal parasites, and
every 6-12 month total worming therapy, is still required for complete protection of Pets and families
(see Panacur C)
Vectra 3D Topical (6 tubes/6 month supply) – Any size single tube $25
Kills fleas and ticks when applied topically to your pet once a month
and repels ticks, mosquitoes, flies, mites, and lice
 $91 2.5-20 lbs
 $95 21-55 lbs
 $98 56- 95 lbs
 $102
> 95 lbs
Panacur C Granules for Intestinal Worms (multiple packets to treat)
Eliminates all intestinal parasites except tapeworms
when given orally for 3 days every 6-12 months
 $11 <10 lbs
 $37 41-50 lbs
 $17 10-20 lbs
 $42 51-60 lbs
 $27 21-30 lbs
 $51 61-80 lbs
 $32 31-40 lbs
 $55 >80 lbs
Droncit Injectable for Intestinal Tapeworms (1 dose)
Given whenever segments (white “creepy crawlies” or dried “rice grains”) are
observed on the stool, hair under the tail, or in Pet’s bed or sleeping area
 $25 <10 lbs
 $61 51-80 lb
 $32 10-25 lbs
 $64 >80 lbs
 $41 26-50 lbs
Transmitted by fleas (See Vectra 3D)
CET Oral Hygiene Chews (Package of ~ 30)
Promotes dental and gum health and “Sweet Breath” when provided daily as a treat
 $13 Petites <11lbs
Only On Weekends
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