SEDATION GROOMING CAGE CARD (TO BE SCANNED INTO PET S CHART)

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1 SEDATION GROOMING CAGE CARD (TO BE SCANNED INTO PET S CHART) Date In: / / Pet s Name: Owner s Name: First and Last Name Breed: Male or Female: Color: Age: months/yrs GROOMING INSTRUCTIONS ***Phone # Where You Can Be Reached During the Day: ( ) - Because your pet will be sedated for the grooming procedure today, a written consent for the sedation and any blood work is needed. Please read the following and initial or sign where requested. PREANESTHETIC BLOOD TESTING Just as with humans, blood work should be performed on any pet undergoing an anesthetic procedure to help us determine the overall health status of that pet. This is especially important since pets cannot verbally communicate with us. This blood work gives us an insight on how your pet's kidney and liver function is, as well as possible problems with the blood such as infections or anemia. If any abnormalities exist, it could adversely affect how your pet handles the anesthesia. If results are within normal limits we will proceed with the procedure as scheduled. Please call for the current price of this blood work. YES, I want my pet to have a pre-anesthesia blood screen. INITIALS NO, I do not want my pet to have a pre-anesthesia blood screen. INITIALS My pet has had a blood panel done within the last year. INITIALS Please note: An additional fee will be assessed for any pets with matted fur. BATHS: *Bath packages include toenail trims, ear cleaning, and for dogs anal glands expressed. Bath and Brush (Our grooming shampoo is used unless specified otherwise.) Medicated Shampoo Needed: What Kind? *There is an extra fee for medicated shampoos unless shampoo is brought by owner.

2 Pet s First and Last Name: MISC. SERVICES: There is an additional fee for the following services: Flea or Tick Treatment Sanitary Clip (fur is clipped around anal area and under belly) Comb out / Clip Mats Furminator - This is a deshedding tool used to remove undercoat & loose fur. Miscellaneous Requests or Instructions (write instructions below) SHAVES: Included: bath & brush, toenail trim, ear cleaning, and for dogs express anal glands. Summer Cut (no mane) Legs: Shave legs completely Do not shave legs Tail: Shave tail completely Do not shave tail Lion Cut (has a mane & pom pom tail Legs: Shave legs completely Do not shave legs Please know that while we take great care in reducing spread of infections should your pet not be current on their vaccinations we will not be held responsible for any illnesses contracted related to vaccines while they are being groomed in our facility. Office Use for Sedation Drugs Used: DRUG & STRENGTH AMT GIVEN ROUTE Start 10 min 20 min 30 min 40min 50 min 60 min 70 min 80 min BrSaMo BP MAP HR RESP CRT *Please understand that while we will take great care grooming your pet we DO NOT have a professional groomer on staff. I assume full financial responsibility for this animal and agree to pay in full at time of release unless other financial arrangements have been made prior to these procedures. OWNER OR AUTHORIZED AGENT S SIGNATURE / / DATE

3 Sanford Oaks Animal Clinic Gr rooming Book

4 Bathing & Brushing

5 Dogs All canine bath packages include a bath & brush, toe nail trim, ear cleaning, and anal gland expression.

6 Cats All feline bath packages include a bath & brush, toe nail trim and ear cleaning.

7 Medicated Baths Medicated baths involve applying the appropriate medicated shampoo for the pet s skin condition followed by a thorough brushing. If needed, nails are also trimmed and ears are cleaned.

8 Fle ea & Tick Trea atments We have several great products to help control those pesky fleas and ticks.

9 Sanitary Clips A sanitary clip involves trimming the fur just around the anal area and under the belly.

10 Matted Fur Comb Outs For fur that is not badly matted we can often comb the mats out.

11 The Furminator This is a special brush that can do wonders for your dog or cat s heavy coat. It is used to remove excess hair from the undercoat. Golden Retrievers, Huskies, Saint Bernard s and other thick furred pets will greatly benefit from adding this to their bath today!

12 Feline Clips

13 Lion Cut #1 Pom-pom tail Legs are completely shaved Full mane Lion Cut #2 Pom-pom tail Legs are not shaved Full mane from the elbow or hock down

14 Summer Cut #1 Tail is not shaved Legs are not shaved from elbow or hock down No mane Summer Cut #2 Tail is completely shaved Legs are completely shaved No mane

15 Canine Clips

16 Lion Cut #1 Pom-pom tail Legs are completely shaved Full mane Lion Cut #2 Pom-pom tail Legs are not shaved Full mane from the elbow or hocks down

17 Summer Cut #1 Tail is not shaved Legs are not shaved from elbow or hock down No mane Summer Cut #2 Tail is completely shaved Legs are completely shaved No mane

18 Note to Our Clients Please understand that while we will take great care grooming your pet we DO NOT have a PROFESSIONAL GROOMER on staff.

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