word - Briggs Animal Adoption Center

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Spay Today
PO Box 340
Charles Town, WV 25414
Kingdom Animal Hospital
Clearbrook, VA
**You pay Spay Today at the time of setting an appointment; this may be done by mail, in
person, or over the phone with a credit card. We are not able to take payment over the internet.
Administration fee: (required with each payment) …………………..…..…………..$5
(Please circle procedure(s) requesting)
Cats: * must be 3 mo +
Female Spay
Rabies required
Combo Test
Dogs: * must be 3 mo +
Female Spay (under 24 lbs)
Female Spay (25– 50 lbs)
Female Spay (51– 75 lbs)
Female Spay (75 lbs +)
Rabies required
Heartworm Test
Heartworm 4DX
$128.50
$22.50
$37.50
Male Neuter
Feline Distemper (each)required
Leukemia Vaccination (each)
$128.50
$145.75
$165.00
$222.75
$22.50
$24.50
$33.75
Male Neuter (under 24 lbs)
Male Neuter (25 – 50 lbs)
Male Neuter (51– 75 lbs)
Male Neuter (75 lbs +)
Distemper (each) required
Baby Teeth Extraction (each)
Microchip
$74.25
$32.75
$26.25
$109.00
$127.25
$143.75
$162.00
$32.75
$22.75
$45.00
* All In-heat, pregnant, obese or complications with surgery will have an extra fee of $45.75 payable to the vet at
the time of pick-up.
Required Information: Name: _____________________________________________________
Address: _______________________________________________________________________
_______________________________________________________________________________
Home Phone: __________________________
Work Phone: ___________________________
Required Pet Information: Name: ______________________________ Age: ______________
Breed (Dog): __________________________
Color: ____________________________
Breed (Cat) Hair Length (Circle one): Short - Medium – Long Weight (Dog only):____________
My pet is up-to-date on rabies (Must provide certificate at drop off).
My pet is up-to-date on distemper (Must provide certificate at drop off).
Payment information:
Make payable to: Spay Today
Total of procedure(s) requested: $__________
One time Administrative Fee:
$
+ 5.00
Total amount due:
$ _________
2/1/15
Drivers License Number
(if paying by check)
State_____#_________________
To set an appointment you may come in person to Briggs Animal Adoption Center, mail payment and information or
call Spay Today and schedule over the phone with a credit card. You pay Spay Today, we set the appointment and
we will go over the pre-surgery instructions with you.
Hours
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
8am
8am
8am
8am
8am
9am
closed
6pm
6pm
6pm
6pm
6pm
2pm
Kingdom Animal Hospital
PO BOX 147
Clear Brook, VA 22624
540-665-3030
Pre-Surgery Instructions:
No food after 8:00 pm the night before surgery.
Drop off time is between 7:00 – 7:30 am. Pets spend the night only if Doctor or client requests.
Cats must be in carriers; dogs must be on a leash.
If the dog weighs more than originally described, the owner must pay the difference to Kingdom when the
pet is released.
There will be an extra fee for any cryptorchid males, pregnant dogs or cats, cats in heat or any obese dog
or cat.
If any procedures are done while pet is here that are not on the list above, the price is reduced 5% from the
standard fee.
To reschedule or cancel an appointment, call the hospital and the Spay Today with the new surgery date.
Cancellations require a 24-hour notice, or a $15.00 fee will be imposed.
If pets need to be dropped off the evening before, the standard boarding charge is applied.
A valid rabies certificate and distemper shot record must be presented at drop off if the vaccinations are not
purchased from Kingdom. Double-vaccination will not harm a pet, but is an added expense not necessary if
owner complies.
Pet’s nails will be trimmed and ears will be cleaned while under sedation at no charge to the owner. If this
service is not desired please tell Kingdom at time of check in.
All new clients will be required to fill out paperwork and show picture ID. Please allow for time to complete
this.
Pets will be checked for retained baby teeth at time of check in, if any are still retained they will be pulled
under anesthesia @ $22.75 per tooth.
Rabies and Distemper are required.
2/1/15
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