Forms & Links

AMC Patient Boarding Forms and Helpful Links

The amazing staff at Animal Medical Center are completely dedicated to taking the absolute best care of your pet. Our compassionate team offers a variety of services from annual check-ups and vaccinations to recommendations on diet and dental services. We truly care about the health and wellness of your pet, so you can rest assured that they're in the best of hands. 

Owner/Patient Registration Form

Male
Female
Cat
Dog
Other
Yes
No
Yes
No

Pre-Surgical Form

Spay
Neuter
Dental
Declaw - 2 or 4 feet
Tumor Removal
Other
Your pet is scheduled for anesthesia/surgery and we expect everything to go well, although no procedure can be completely guaranteed. Dr. Heilmeier & Dr. Singley routinely perform a full physical exam on all patients before anesthesia is administered and they will select the safest form of anesthesia available for the procedure to be performed. However, there are other ways to insure we reduce the risk factor for your pet. You wouldn’t think of having surgery yourself without pre-laboratory testing to ensure your safety, therefore we recommend the same for your pet. This test can help us rule out any pre-existing internal problems that may not be evident physically but could lead to serious complications. The basic fee of $52.00 is an additional charge to cover the cost of the blood profile. Please indicate your choice by authorizing or declining this test below.
This is a permanent way of identifying your pet when lost or stolen
Laser Therapy is a new modality used to alleviate pain & aid in the healing process. We are now offering laser therapy postoperatively for a $10 fee.
Our Doctors will use their discretion regarding pulling any teeth that they feel may cause future problems or discomfort to your pet. Please indicate below if you would like us to contact you prior to the procedure or we will proceed with the dentistry.
Pets can't tell us when they hurt, so it can be difficult to know when they are in pain: however, since the perception of pain is similar for humans and pets, we assume any condition or injury capable of causing pain in humans is also capable of causing pain in pets. Our practice understands the importance of pain management and offers effective methods to meet your pet's specific needs. Administration of medication will be given to reduce pain and discomfort for your pet and to promote a faster recovery.
There will be an additional charge if your pet is pregnant or in-heat.
I hereby authorize Animal Medical Center to perform one of the following surgical procedures on my pet as were discussed with me.

Heilmeier's Bed & Biscuit Luxury Boarding Facility Form

Thank you for choosing Heilmeier's Bed and Biscuit  for your pet's boarding needs. For your pet's comfort you may choose from runs, luxury suites, or feline condos. Please check the box by the room of your choice.
Feline Condo $16.00per cat per day. Eash additional cat sharing the same condo is an additional $14.00 per day.
Run $20.00/Suite $30.00per dog per day. Each additional dog sharing the same run is an additional $18.00/$20.00 per day.
Checkout time for weekdays is 1:00PM. Our weekend summer hours are 7:30am to 8:30am or 4:30pm to 5:30pm. All checkouts after our morning hours will be charged for a full day. Please initial
Beds  are given for your dog's comfort. If you do not wish for your dog to have a bed please let us know. We may ask for reimbursement for any bed destroyed by your dog. Replacement cost can be up to $50.00. Please initial
Required:Dogs must be current on Distemper/Parvo and Rabies yearly. Bordetella (Kennel Cough) is required every 6 months.We must also have a current intestinal parasite exam.Cats must be current on Felv, FVRCP and Rabies. Pets that require vaccinations will be examined by doctor at owner's expense.All pets MUST be flea free. All pets will be administered a Capstar for our facility to maintain our flea free facility status. This is a $6.00  charge that will be applied to your bill. Please initial
Baths  are given by the request of the owner. Weekend pickups will receive their bath on Friday. Please initial
Emergency:Should an emergency occur during your pert's stay with us, your pet will be treated at Dr. Heilmeier's discretion. Please feel free to leave an emergency number with us. Please initial
PLEASE READ THE FOLLOWING AND CHECK IN, FILL IN THE BLANK OR SIGN WHERE INDICATED:
Does your pet have any allergies or allergic reactions to food, vaccines, or medications?
Yes
No
How do you feed your pet at home?
Yes
No
Yes
No
If yes, please give instructions on how to give meds below.
I give permission to have my pet's likeness and/or picture, medical story posted on social media.
I assume responsibility for all charges in the care of this animal. I also understand that these charges will be pain at the time of release and that a deposit may be required for surgical treatment of this animal. I understand that it I do not pay for a service as agreed, I agree to pay all the cost of collection.
By signing this form I acknowledge that I understan Animal Medical Center's requirements, recommendations, and additional charges for my pet's stay.
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