Name: Animal Medical Center of Reno
Address: 855 East Peckham Ln, Reno, NV, 89502, United States
Telephone: +1-775-827-3033
Price range: $

Owner Name

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Last

Co-Owner Name

Address

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Name of Previous Clinic

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Military

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Senior

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Recommended by Whom?

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First Pet

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Dog
Cat

Pet Information

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Breed

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Date of Birth

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Sex

Spayed or Neutered

Do you have a second pet?

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Authorization for Veterinary Care

I/we hereby authorize the veterinarians to examine, prescribe for, or treat my pets (s). I/we assume full responsibility for all charges incurred in the care of this/these animal(s). I/we also understand that these charges will be paid in full at the time of release and that a deposit may be required for certain surgical treatments or other procedures.

New Patient Registration Form