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8300 Quinault Drive NE Suite A, Lacey, WA 98516

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Yearly Recheck Form

  • Client Information

  • Patient Information

  • NameSpeciesBreedAge 
  • I do / do not authorize Dermatology Clinic for Animals to obtain pictures of my pet in order to document the skin condition and /or for teaching purposes or publication.

    I authorize and direct the veterinarians at Dermatology Clinic for Animals to diagnose, prescribe, perform therapeutic procedures, and/or surgery that their judgment may dictate to be advisable for the patient’s well-being. No warranty or guarantee has been made as to the result or cure. Appointment Cancellation Policy: Dermatology Clinic for Animals is committed to providing all of our patients with exceptional care. Please call (253) 596-5093 two business days prior to canceling your appointment or procedure to allow.

    Appointment Cancellation Policy: To cancel appointments please call (360) 350-4756 two business days prior to canceling your appointment or procedure to allow another patient to be seen. If prior notification is not given, then prepayment for future appointments will be required. Scheduling an intradermal allergy test or video otoscopy will require a deposit of $150. Thank you for helping us continue to offer exceptional care for your pet.
  • Date Format: MM slash DD slash YYYY

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