(714) 847-1291
hbpetvets.staff@gmail.com


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Drop-Off Exam Form

Seamless drop-off exam process at Beach Blvd Pet Hospital. Simplify your pet’s care and treatment with our comprehensive form.

Drop-Off Exam Form

Please complete this form accurately and thoroughly to ensure the best care for your pet. Your pet’s health is our top priority.

Drop-Off Exam Form

Please ensure you fill in all the fields marked with an asterisk (*), as they are required for your submission.

Owner's Name *

First

Last

Email *

Pet's Name *

Multiple Choice

I, as the owner of the named pet, authorize the veterinarians and staff of Beach Blvd Pet Hospital to provide treatment for my pet.

Concerns I have today:

I am aware of the drop-off exam fee of $80 and know that my pet will be seen in between scheduled appointments to accommodate me. This means that my pet may stay at the hospital for several hours. I will be responsible for all charges.

I give permission for bloodwork to be performed at a cost of $147-267.

Yes
No

I give permission for x-rays to be performed at a cost of $232-358.

Yes
No

I give permission for a microscopic fecal examination to be performed at a cost of $55.

Yes
No

I give permission for sedation to be performed today in order to complete the exam or treat my pet at a cost of $ 100-266.

Yes
No

I give permission for ear diagnostics to be performed today for a cost of $39-57.

Yes
No

I give permission for skin diagnostics to be performed today for a cost of $51-91.

Yes
No

I need an estimate for all services and do not give permission for any of the above.

Yes
No

I give permission to update any vaccines, heartworm or fecal tests needed.

Yes
No

I can be reached at this number(s) today

Or please reach out using the contact information below

Name

Phone

Owner's Name *

First

Last

Date *

Email

We’re excited to meet you

Please call us at (714) 847-1291 or use the button below to make an appointment with us!

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Have Any Questions?

Please fill out the form below and a member of our team will get back to you shortly.



Contact

P: (714) 847-1291
E: hbpetvets.staff@gmail.com



Location

16191 Beach Blvd
Huntington Beach, CA 92647



Opening Hours

Mon-Fri: 8:00am – 6:00pm
Sat: 8:00am – 4:00pm
Sun: Closed

Name *

First

Last

Email *

Phone

How can we help you? *

Email

We proudly serve the pets of Huntington Beach, CA and beyond

Huntington Beach
Fountain Valley
Garden Grove
Westminster
Costa Mesa
Irvine

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