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South Arlington Animal Clinic

Dental Procedure Form

Save time during your next appointment! Complete your required forms online from any device at any time before your pet dental appointment.

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Dental Procedure Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

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Your pet is scheduled for a dental procedure today. We will do a thorough teeth cleaning and oral exam, which is included in our basic dental fee. If any further treatment is recommended, there will be additional fees not included in the basic teeth cleaning. It is safer for your pet to complete all needed dental procedures during their initial visit rather than to sedate your pet again at a later time. Please initial below on how to proceed should any abnormalities require additional treatment:

Please Perform The Necessary Procedures And Extractions At This Time. Additional Fees Will Apply, This Will Be Determined, Once The Procedure Is Started.
Please Perform Only The Teeth Cleaning And Oral Exam Included In The Basic Dental Cleaning Fee.
Please Call Before Any Additional Procedures Are Performed.

I consent to receive text messages about appointment reminders, alerts about my account, and the status of my order from South Arlington Animal Clinic at the phone number I provided. I acknowledge that my consent is not a condition of purchase. Message and data rates may apply. Message frequency varies. Reply HELP for assistance or STOP to opt out of receiving messages. Please see https://arlingtonanimalclinic.com/privacy-policy/

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*This promotion is valid for new clients only and may be used once per client. Cannot be combined with other offers or promotions. Other restrictions may apply.

South Arlington Animal Clinic

Dental Procedure Form

Dental Procedure Form

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