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thank you for selecting Mercer Street Veterinary Hospital for your pet’s care

We appreciate the opportunity to provide the best care possible, and we ask that you take a moment to complete this information sheet to help us better meet your needs. You can expect a friendly reception from our warm and welcoming staff, as well as excellent care from our medical team in a clean, comfortable facility designed with pets—and pet parents—in mind. If you and your pet have an appointment, you’ll be seen shortly after your scheduled time; however, please note that critical emergency patients may take precedence over wellness visits. If you have any questions, please call us at (206) 285-0395—we look forward to meeting you and your best friend!

Type and brand of food, quantity, serving times, treats or chews, and any other information.
Clear Signature
By signing, I confirm that the information provided in this form is accurate to the best of my knowledge. I authorize the veterinary team to examine and treat my pet as needed and understand that I am financially responsible for all services rendered. I acknowledge that estimates may be provided upon request and that payment is due at the time services are performed.