Roncesvalles Animal Hospital

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Intake questions with a TECHNICIAN

Home > Intake questions with a Technician

We are requesting you to complete these questions prior to your TECHNICIAN visit with us. This will ensure your appointment go smoothly.

You understand this is a TECHNICIAN appointment form(Required)

Name(Required)
Email Address of Pet Owner(Required)
Are you the individual responsible for decisions and accounts?(Required)
This individual should be the owner on the account file, responsible for decisions and payments and of legal age (18+).
REASON FOR VISIT(Required)
Please check all that apply
Is your pet on any Medications/Flea, Tick or Heartworm Prevention/Supplements/CBD oil. If yes, please select:
Did you give the parasite prevention as prescribed?
Cancellation Policy(Required)
For payments we are accepting all major credit cards, Debit, e-transfers or cash.

1. Cancellation within 24 hours of APPOINTMENT time - $37.50
2. Missed APPOINTMENT or more than 10 minutes late for scheduled appointment time - $52.50
3. Missed drop off or cancellation within 72 hours of SURGERY time - $250
We appreciate your consideration and understanding of this policy.

Saturday June 17th is our next Blood Donation Day, please complete the new blood donor form and email it to roncesvallesmanager@outlook.com - If you are a returning donor please email cabb@outlook.com to book an appointment.
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