word - Briggs Animal Adoption Center

advertisement
Spay Today
PO Box 340
Charles Town, WV 25414
Hillside Veterinary Hospital
191 Augustine Ave
Charles Town, WV
**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 5 mo +
Female Spay
Rabies required
Feline Distemper (each)
$93.10
$17.50
$16.80
Dogs: must be 5 mo +
Female Spay (under 20 lbs)
Female Spay (21 – 50 lbs)
Female Spay (51 - 80 lbs)
Female Spay (81 – 100 lbs)
Female Spay (101 lbs +)
Rabies required
Bordetella
Lyme
Required Information:
$128.10
$135.80
$144.90
$152.60
$196.70
$17.50
$16.80
$21.70
Male Neuter
Combo Test
Feline Leukemia Vaccination
(each)
$55.30
$35.00
$16.80
Male Neuter (under 20 lbs)
Male Neuter (21 – 50 lbs)
Male Neuter (51 - 80 lbs)
Male Neuter (81 – 100 lbs)
Male Neuter (101 lbs +)
Distemper (each)
$97.30
$105.00
$113.40
$129.50
$154.70
$16.80
$31.50
Heartworm/Lyme/Ehrlichia Test
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).
Payment information:
Make payable to: Spay Today
Total of procedure(s) requested: $__________
One time Administrative Fee:
$
+ 5.00
Total amount due:
$ _________
Drivers License Number
(if paying by check)
State_____#_________________
2/8/2016
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
7:30am
7:30am
7:30am
7:30am
7:30am
8:00am
closed
7:00 PM
5:00 PM
5:00 PM
7:00 PM
5:00 PM
12 noon
191 Augustine Ave
Charles Town WV 25414
Phone: 304.728.2203
FAX: 304.724.0056
email hillsidevet@comcast.net
Notes and Restrictions
Keep records given at time of discharge, you will not be able to get a new copy.
Pre-Surgery Instructions:
-
No food or drink after 8 pm the night before surgery.
-
Coupon must accompany pet at time of drop off
-
Drop off time is between 7:30am – 8:30am. New clients required to fill out information
sheets upon arrival.
-
Cats must be in carriers and dogs must be on leash.
-
If cat/dog is in heat or pregnant, if dog weight is incorrect, you must pay the hospital the
difference when your pet goes home.
2/8/2016
Download