Call Us At 608-643-2451
Email Us
Get Directions
COVID-19 SAFETY UPDATE
Small Animal Hospital
About Us
Meet Our Team
Request Appointment
Patient Health History Form
Job Application
Contact Us
Services
Medicine & Wellness
Surgery Services
Diagnostic Services
Cremation Services
Pet Health
Pet Health Library
How-To Videos
Pet Health Checker
News
Blog
Pet Portal
Pet Records Registration
Request a Refill
Request an Appointment
Patient Health History Form
Shamrock Pet Resort
Pet Resort Staff
Boarding Rates
Boarding
Spa Suites Pet Cams
Doggie Daycare
Daycare and Dog Park Forms
Grooming
Training
Training Application
Training Contract
Shamrock Dog Park
Shamrock Dog Park Annual Membership Application
Job Application
Grooming Information/Health Form
In order to serve you efficiently during our curbside assistance, please take a few moments to complete the form below prior to your pet’s grooming appointment. Upon arrival for drop off, please text us at (608) 360-9221 with the following message: "Name of Pet is here for grooming, in spot #" and a staff member will assist you. If you need further assistance on arrival, call us at (608) 643-2451. We look forward to seeing you soon!
Pet Owner's Name
*
First
Last
Phone Number
*
Email
*
Patient Name
*
Date of APPT
*
Date Format: MM slash DD slash YYYY
Name of the person dropping your pet off for the appointment:
First
Last
Their Phone Number:
Does the person dropping your pet off have permission to make medical and financial decisions in your place?
*
Yes
No
If not, list your DAYTIME NUMBER TO CONTACT as we will need to contact you for permission and payment information during the appointment.
Would you like the groomer to give the same haircut as your previous visit?
Yes
No
Please describe any changes/or your preferred haircut (please be as detailed as possible about the length of coat, if you would like one area longer than another, etc.):
*
Pamper your pet with additional SPA SERVICES:
Spa Dremmel Nail Trim $26~ Makes your dog’s nails short and smooth by rounding all edges. Reducing scratches on your hardwood floors, furniture, and you!
Deshedding Shampoo & Conditioning Treatment $15-20 size dependant~ Dramatically reduce the amount of hair your pet sheds! While nothing will stop it completely, this works WONDERS!
Luxurious Conditioning Treatment $7.25~ Remoisturizing coconut cream conditioner that will leave your pooch silky smooth and smelling OOHH so good!
Blueberry Facial Treatments $12~ A lovely and refreshing treatment applied to the hair around the face and head to remove stubborn dirt, leaving behind silky hair and a hint of blueberry for puppy smooches!
Reiki/Massage Treatment $9.95~ Our groomer will set the "Mood" for a relaxing spa-like service with calming reiki and massage.
Teeth Brushing $11~ This is not just a tasty treat for your favorite companion, but also cleans teeth and freshens breath!
Please check any additional service you would like for your pet.
Is your pet coughing or sneezing?
*
Yes
No
Is your pet currently taking a flea/tick preventative?
*
Yes
No
Is your pet currently taking a heartworm preventative?
*
Yes
No
Is your pet currently taking prescription medication(s) or supplements?
*
Yes
No
Do you need medication refills?
*
Yes
No
Does your pet have anxiety?
*
Yes
No
Is your pet friendly?
*
Yes
No
Have you noticed your pet behaving abnormally recently?
*
Yes
No
Does your pet spend time scratching/licking/chewing their skin/fur?
*
Yes
No
Does your pet experience stiffness/soreness?
*
Yes
No
Have you noticed any new lumps or growths on your pet?
*
Yes
No
Has your pet had a vaccine reaction, or become ill after receiving a vaccine in the past?
*
Yes
No
What kind of dental care are you performing?
*
Brushing
Dental Chew
Dental Diet
None
Please list any additional health history you’d like to share:
*
COVID-19 SAFETY UPDATE
Small Animal Hospital
About Us
Meet Our Team
Request Appointment
Patient Health History Form
Job Application
Contact Us
Services
Medicine & Wellness
Surgery Services
Diagnostic Services
Cremation Services
Pet Health
Pet Health Library
How-To Videos
Pet Health Checker
News
Blog
Pet Portal
Pet Records Registration
Request a Refill
Request an Appointment
Patient Health History Form
Shamrock Pet Resort
Pet Resort Staff
Boarding Rates
Boarding
Spa Suites Pet Cams
Doggie Daycare
Daycare and Dog Park Forms
Grooming
Training
Training Application
Training Contract
Shamrock Dog Park
Shamrock Dog Park Annual Membership Application
Job Application