Highway 30 Veterinary Clinic

Low Cost Neuter Day Form

Fill out this form to provide us with important information before your pet’s stay.

Name *

First

Last

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Pet Name *

Species *

Breed (if known)

Pet Age (in years)

Sex *

Approximate Weight (lbs)

Is your pet up to date on vaccinations? *

Preferred Appointment Date *

Additional Notes or Special Instructions

I acknowledge that I am applying for a low-cost neuter day service for my pet. I understand that while every effort will be made to ensure my pet’s safety, there are inherent risks with any surgical procedure. I agree to follow all pre- and post-operative instructions provided by the clinic.