• Date Format: MM slash DD slash YYYY
  • Patient Medical History

    Please mark all that apply. We may ask additional questions when you drop your baby off with us for clarification.
  • Authorization

    Notification Your pet will be administered a Capstar® tablet orally on the morning of admission, so that we can remain a ”flea free” facility. You are authorizing Claws & Paws Veterinary Hospital® and it’s staff to perform the requested procedures based on your responses to the next two choices and submitting this electronic form.
  • This field is for validation purposes and should be left unchanged.