Pleasant Valley Veterinary Clinic

Phone: (913) 845-2209

401 N Main St, Tonganoxie, KS 66086

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New Client Form

Name(Required)
Address(Required)
Is your pet on heartworm preventative?(Required)
Is your pet on flea & tick preventative?(Required)

I hereby authorize the veterinarian to examine, treat, and prescribe for the above described pet. I assume responsibility for charges incurred in the care of the pet. I also understand that all professional fees are due at the time service is rendered.

MM slash DD slash YYYY

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Pleasant Valley Veterinary Clinic

Phone: (913) 845-2209 Address: 401 N Main St, Tonganoxie, KS 66086

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    • Senior Care
    • Surgery
    • Vaccinations
    • Wellness Exams
    • Laboratory
    • Nutritional Counseling
    • Microchipping
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