Book an Appointment With Bayside Animal Hospital LLC

Payment Options

At Bayside Animal Hospital LLC, we want to make veterinary care as easy as possible for you. That is why we accept many different payment options, so you can choose what is right for you. We always accept cash or check or any of the credit cards below.

Don't forget to ask about Our Payment Options.

Appointment

Visa

American Express

Mastercard

Discover

Grooming Form

If you have a grooming appointment scheduled, please fill out the following form.

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Bayside Animal Hospital Grooming Form

Please fill out the following form as thoroughly as possible before your scheduled grooming appointment. If you have any questions or concerns, feel free to call us at (251) 626‑2653.

"*" indicates required fields

Name*

First Last

Email*

Pet's Name*

Pet Species*

Dog

Cat

We will call you as soon as your pet is ready to go home. What is the best phone number to reach you at today?*

May we send text messages to this phone number?*

Yes

If the pet owner cannot be contacted and there are questions about how to groom the pet, the groomer will perform a routine bath and brush. If the pet is matted, the groomer may have to shave the pet for an additional charge.*

I have read and understand.

In order to keep our clinic free of external parasites, any pet with fleas, ticks, or other ectoparasites will be treated at the owner’s expense. Bayside Animal Hospital LLC requires your pet to be current on Rabies, Distemper/Parvo, and Bordetella vaccines to be groomed.*

I have read and understand.

I agree that my cat may need to be sedated. I realize there will be additional charges. Although complications are rare, there are some risks involved (including cardiac problems and potential death), and I release Bayside Animal Hospital LLC of all liability.*

I have read and agree.

Vaccinations Needed*

Current on Vaccines

Rabies

Bordetella

Lepto

FVRCP (Cats)

Heartworm Test

Fecal

Other Services Requested (e.g. nail trim, anal gland expression, ear cleaning):

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Phone

This field is for validation purposes and should be left unchanged.

Bayside Animal Hospital New Client Form

Welcome to Bayside Animal Hospital! Please fill out the following form as thoroughly as possible before your scheduled appointment. If you have any questions or concerns, feel free to call us at (251) 626-2653.

"*" indicates required fields

Name*

First Last

Email*

Primary Phone*

Secondary Phone

Address*

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Who else is authorized to make decisions about your pet's healthcare?*

First Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank?*

Pet's Name*

Species (dog, cat, etc.)*

Breed*

Age/Date of Birth*

Sex*

Male

Neutered Male

Female

Spayed Female

Does your pet have a microchip identification?*

Yes

Payment is due in full at the time that services are performed. We accept cash, Visa, MasterCard, Discover, and American Express payments.

I have read and accept the financial policy.

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Phone

This field is for validation purposes and should be left unchanged.

Bayside Animal Hospital Sedation Consent Form

Please fill out the following form as thoroughly as possible before your scheduled surgery appointment. If you have any questions or concerns, feel free to call us at (251) 626-2653.

"*" indicates required fields

Pet Information

Pet's Name*

Contact Information

Owner's Name*

First Last

Email*

Phone*

Additional Phone

Secondary Contact:*

First Last

* This person has your authority to consent to medical decisions regarding your pet's surgical care in the event we cannot reach you.

Secondary Contact Phone*

Today's procedure is (examples includes lump removal, exam, etc.):*

Additional Services Desired While Patient Is Sedated

Please select any/all that you would like us to provide while your pet is sedated:

Implant Microchip

Clean Ears

Sanitary Clip (rectum, genitals)

Other (specify below)

Nail Trim

Express Anal Glands

Remove Lumps (specify location of lumps below)

Authorization

I authorize anesthesia/sedation for my pet. The nature and risks of this procedure have been explained to me. I understand some risks always exist with anesthesia and/or sedation, and I am encouraged to discuss any concerns I have about those risks with my veterinarian before the procedure(s) is initiated. My signature on this consent form indicates that any questions have been answered to my satisfaction.*

I have read, understand, and authorize.

I authorize Bayside Animal Hospital to perform any additional diagnostic, treatment, or surgical procedure(s) deemed necessary for medical complications or otherwise unforeseen circumstances. I understand there are rare complications associated with any anesthetic procedure. No warranty or guarantee has been given to me as to the results or cure afforded by these treatments or procedures. I fully understand these risks and understand the veterinarians and hospital staff will try to minimize such risks. I will not hold Bayside Animal Hospital, the veterinarians, or any staff member liable for any complications that may arise.*

I have read, understand, and authorize.

Payment is due upon services rendered.*

I have read, understand, and agree.

I HAVE READ AND FULLY UNDERSTAND THIS ANESTHESIA CONSENT FORM.*

I have read, understand, and agree.

Date*

MM slash DD slash YYYY

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This field is for validation purposes and should be left unchanged.

Bayside Animal Hospital Boarding Form

Please fill out the following form as thoroughly as possible before your scheduled drop-off appointment. If you have any questions or concerns, feel free to call us at (251) 626-2653.

"*" indicates required fields

Name*

First Last

Email*

Phone*

Check-Out Date*

MM slash DD slash YYYY

Check-In Date*

MM slash DD slash YYYY

Pet's Name*

Emergency Contact*

First Last

Emergency Contact Phone*

If a critical/life threatening problem develops and we can't reach you, may we treat your pet(s)?*

Yes

Please list feeding instructions:*

When is your pet due for their next meal?*

Did you bring food for your pet?*

Yes

Please list any medications that your pets need while boarding (along with instructions):

Are you leaving any of the following?

Collar/Leash

Carrier

Bedding

Other

Please list any procedures you would like performed during your pets' stay (e.g. nail trim):

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