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1556 S. Michigan Avenue, Ste.100, Chicago, IL 60605
(312) 583-1921
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Healthy Start Package Agreement
Healthy Start Package Agreement
Owner's Name
Pet's Name
Pet’s Species
Canine
Feline
Breed
Age/Birthday
My Pet’s Healthy Start Package Includes:
3 Physical exams
2 Bordetella
2 Lepto boosters*
3 DA2PP boosters*
2 in house fecals
1 Rabies vaccine + Tag
3 Nail Trims
1 Dog Friend Area Tag (DFA)*
1 De-worming treatment
Puppy/Kitten information folder
Toothbrush/toothpaste sample
Heartgard starter pack
Nexgard starter pack
Spay or Neuter
Meds up to $150 to go home with after spay/neuter
My Pet’s Healthy Start Package does not Includes:
Additional procedures/surgeries including but not limited to:
Deciduous teeth removal
Dewclaw removal
Stenotic nares augmentation
Gastropexy
Dental cleanings
Lyme Vaccine/Influenza Vaccine
Anal gland expression
Exams for sick/injured visits
Additional Heartworm preventative
Additional Flea/tick preventative
Microchip implantation
Additional Medications
*items may vary depending on puppy or kitten
Consent
I agree to pay one payment of $399 at the initial visit and a second payment of $399 at the appointment when the rabies vaccine is given (typically the third visit). I understand that payment is due at the time of service and Metropolitan Veterinary Center does not offer payment plans
Consent
I enter this agreement with the understanding that there are no substitutions, no refunds, no exchanges, and that I cannot customize my Healthy Start Package in any way.
Consent
I (Owner/Authorizing Agent)_______________________________ confirm that I am signing my puppy/kitten up for Metropolitan Veterinary Center’s Healthy Start Package. I certify that I have read the above agreement and filled out to the best of my ability. If I have any questions regarding my healthy start package or on what the package includes/ does not include I will ask a staff member before signing. I certify that I am 18 years or older and the owner or authorizing agent of the pet listed above.
Owner/Authorizing Agent Signature
(Required)
Date
(Required)
MM slash DD slash YYYY
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2
Meet with a doctor for
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3
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your pet.
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