Sheabel
Pet Care Center
2568 Richmond Road
Lexington, KY 40509
  859-268-4444

    



Boarding,
Grooming & Training
859-269-PETS

Copyright © 2002
Sheabel
Pet Care Center
All Rights Reserved.

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New Client
Registration Form


Please use this form after scheduling an appointment with our staff to register your pet for the service listed above.  You may submit this form online or fill out the information requested below and fax to 859-268-7872.

Canine:
Required vaccines/tests for boarding, grooming or hospitalization - No wellness exam is required for these:
1.      Bordetella (Every 6 Months)
2.      Lepto-booster required (Within the last 12 months)
3.      Worm check (Within the last 12 months)

Required vaccines in the last 3 years- wellness exam required:
1.      Rabies
2.      Distemper/ Parvo Combination

Feline: 
Required vaccine/tests in last year

1.      Feluk-booster required –NO WELLNESS EXAM REQUIRED
2.      Worm check-NO WELLNESS EXAM REQUIRED
3.      Rabies-WELLNESS EXAM REQUIRED

Required vaccines in last 3 years:
Feline   Distemper/Rhinotracheitis-WELLNESS EXAM REQUIRED

Feline Leukemia Test required once in a lifetime if current on leukemia vaccine

 
 Date:
 Name:
 Street Address:
 City:
 Zip Code:
 Place of Employment:
 Phone Numbers:
Home
Work: 
Cell:
 Email Address:
 Service(s)
 Requested:
 How did you learn
 about our hospital?:

   
Pet Information
 Name:
 Birth Date:
 Sex:
Male
Female
 Breed:
 Color:
 Reproductive Status:
 Surgical, Medical
 or Allergic Problems:
 Current medications
 your pet is taking:
 
 Which of the following
 vaccinations has your
 pet received?:

Cat
Rabies
Feline Leukemia
Feline Distemper
Upper Respiratory
Fecal Worm Check

Dog
Rabies
Bordetella
Distemper / Parvo
Lyme
Fecal Worm Check
Heartworm Check
 Where were
 these  vaccinations
 performed?:
 Which doctor do you
 wish to see?:
  • Any animal must have had it’s annual vaccinations and tests within the last 12 months.  If they are not current, they will be given at the owner’s expense.  Furthermore, if any animal is presented with fleas, ticks, or lice it will be treated at the owner’s expense.
  • All fees must be paid at the time services are rendered or the pet cannot be released from the hospital.  WE DO NOT HAVE CHARGE ACCOUNTS.  Deposits are REQUIRED for all hospitalized pets.  I understand that any collection or legal fees incurred will be paid by me and all accounts over 30 days will be charged 18% interest.  Also, any returned checks will have a $20 fee attached. 
Method of Payment: 

By submitting this form, you do hereby grant permission to Sheabel Pet Care Center to administer any necessary veterinary treatment to my pet as required, as well as any emergency medical procedures that may be needed. 

    


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