Drop-Off Sheet at Belleway Veterinary Hospital

Save time and help us care for your pet more efficiently by completing the drop-off form before your appointment. We appreciate your support in providing clear, up-to-date information to ensure a smooth and stress-free visit.

An orange and white cat sitting on a ledge

Making Your Visit Smoother

We have arranged for your pet to remain with us so that a veterinarian at Belleway Veterinary Hospital can examine them as soon as possible today. Please review the following questions and answer any that apply to your pet. Afterward, please read and sign the authorization before submission.

I am the owner/agent for the described animal, authorize, and request an exam for my pet. I understand that sedation and/or pain medication will be provided if deemed reasonable. I understand the doctor will contact me after he/she has examined my pet to discuss recommended diagnostics and treatment, and will have an initial estimate of charges.

If I cannot be reached at this number, I authorize initial diagnostics, including radiographs and blood work if indicated for my pet. Further, if I cannot be reached, I authorize initial treatment, including fluid support and other supportive medications, to be started as indicated for my pet.

Clear Signature