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Rascal Unit – Spay/Neuter Clinic
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Canine Surgery Registration
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Canine Surgery Registration
Canine Surgery Registration
CLINIC DATE
Sat, July 22, 2023
Sat, September 2, 2023
Owner Name
*
Address
*
City
Zip Code
County You Live In:
Phone
*
Email
*
Dog's Name
Color
Age or Date of Birth
BREED
Weight
Sex
Male
Female
Surgery Options
Spay/Neuter
Dental (please ask for estimate) $150-$200
Other
Vaccination & ID Options
Rabies $10.00
DHLPP $16.00
Bordetella $15.00
Lyme Vaccine $33.00
Influenza Vaccine $42.00
Microchip $30.00
A rabies vaccine is required for surgery. If your dog has already had one please bring the rabies certificate along to the clinic. If not, please check the option for a rabies vaccine (additional $10)
Parasite Control
Broad Spectrum Dewormer*
Heartworm Prevention*
Flea/Tick Control*
* Prices given at Clinic
Labwork
Junior Wellness Profile $55.00
Senior Wellness Profile $115
Heartworm/Lyme/Anaplasma/Ehrlichia $30.00
Fecal Examination $20.00 - $35.00
Pre-Anesthesia Bloodwork $55.00
Other Costs
Buster Collar (E-Collar) $10.00
Payment Method
PayPal - Invoice will be sent
Mail Check - HCHS P.O. Box 442 Millersburg, Ohio 44654
Additional Services Requested or Recommended:
Nail trim is included with surgery patients if requested.
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