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Pet/s Name/s:
Your Full Name
Your Home Address
Your Postcode
Your Phone Number
Your Email Address
Your Partners Name & Phone Number
EMERGENCY CONTACT - We need the name and number of someone who does not travel with you case we (or the vets) can not get hold of you.
Emergency Contact Name & Phone number
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1st Pet's Name
DOB or Approximate Age:
Male or Female
Neuter or spay date (If done by a rescue type ‘RESCUE’)
Colour/Breed
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2nd Pet's Name
Pet Insurance (Pets Names) Insurance Company & Policy Number/s
Tick anything your pet has ever had
Please give full details of any past or current health issues and any minor/major operations - with approximate dates if possible.
Veterinary Surgery Name & Address
Vet's Phone Number
Is your pet registered with any other vets or a specialist vet?
If you answered YES we need full details of treatment and name of the other vet/surgery/surgery.
Anything else?
VETS VISITS : We will always try to contact you (or your emergency contact) if we suspect an illness or injury, and we have a duty of care (under the Animal Welfare Act 2006) to take your pets for veterinary treatment.
STAYING AT THE VETS : If you rabbit has suspected Gut Stasis the vets may need to admit them for a short time, or even overnight, for monitoring and treatment by their veterinary team. This treatment plan could cost in excess of £300.
Veterinary Fees
I have read the Terms & Conditions and Privacy Policy of the Garden Lodge Bunny Retreat and have electronically signed that I agree to all of the above for this and all future bookings.
Date
Signed
User Agreement
