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      Wilkinson Vet
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      & Pet Weight Loss
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    • Pet Allergies And Dermatology
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      and Diagnostics
    • Pain Management
    • Surgery
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    • Radiology/X-Rays
    • Ultrasound
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      Services
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  • 704-457-7600
Wilkinson Animal Hospital
Wilkinson Animal Hospital
Schedule Your Appointment
704-457-7600
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Schedule Your Appointment
704-457-7600
    Wilkinson Animal Hospital Logo
  • Our Hospital
    • About
      Wilkinson Vet
    • Meet Our Team
    • Payment
      Solutions
    • New Client Special
    • Why Choose
      Us?
    • Employment
    • Our Videos
  • Our Services
    • Preventive Care
    • Wellness Exams
    • Vaccinations
    • Puppy/Kitten
      And Senior Pet Care
    • Early Disease
      Detection Testing
    • Parasite Prevention
      And Control
    • Nutritional Counseling
      & Pet Weight Loss
    • Pharmacy
    • Microchipping
    • General Medicine
    • Pet Allergies And Dermatology
    • Dental Care
    • Laboratory
      and Diagnostics
    • Pain Management
    • Surgery
    • Pet Emergency Services
    • Internal Medicine
    • Radiology/X-Rays
    • Ultrasound
    • Specialty Vet
      Services
    • Laser Therapy
    • Exotic Animals
    • Doggie Day Care
    • Grooming
    • Boarding
  • Client Forms
  • Resources
    • Blogs
    • News &
      Promotions
    • Pet
      Resources
    • FAQs
  • Home Delivery
  • Reviews
  • Contact

"Where Pets & Their People Are Special"

"Helping Pets Live Longer, Healthier & Happier Lives"

"Where Pets & Their People Are Special"

Patient Forms

Thank you for giving us the opportunity to care for your pet! Please click on the link to the form that you need. When the form has downloaded, please print and complete the information sheet and bring it to the hospital at the time of your appointment.

  • New Client Registration Form

    Download
  • Boarding Agreement Form

    Download

      New Client Registration Form

      *Required Fields

      *Name:

      *Street Address

      *Best Contact Number:

      Home Phone:

      Cell Phone:

      Work Phone:

      *Email Address:

      Spouse / Partner / Joint Owner

      Name:

      Cell Phone:

      Work Phone:

      Place of Employment:

      We appreciate you choosing Wilkinson Animal Hospital for your pet's care. How did you hear about us?

      If you said you were referred, please let us know who so we can thank them.

      If you said you found us online, please let us know where online you found us.

      Pet Information

      Pet #1
      *Pet's Name:
      Dog, Cat, Other:
      Breed:
      Sex:
      Color:
      Birthday/ Age:
      Microchip #:
      Pet #2
      *Pet's Name:
      Dog, Cat, Other:
      Breed:
      Sex:
      Color:
      Birthday/ Age:
      Microchip #:
      Will you be faxing/bringing vaccination records? If not, which vet clinic may we contact for vaccinations?
      Thank you
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      Boarding Agreement

      I have been given a copy of Wilkinson Animal Hospital‘s boarding policies and I acknowledge that I have read and understand them.

      For the safety of all pets in our care, I understand that my pets must be up to date on necessary vaccinations, free of intestinal parasites, fleas and ticks to enter and stay in this facility.

      I understand my pet will be administered a CAPSTAR flea pill on the day of entry to the facility whether my pet is on a flea control product or not. This is to prevent any possibility of flea introduction to our facility. Pets who are found to have ticks or evidence of mites will be treated immediately. I understand that these parasite treatments will be at my expense.

      I understand that pets boarded away from home are under some stress from being in a different environment, different routines, and absence of family members. We minimize this stress by maximizing personal attention and providing a nutritious, high quality, highly digestible diet. I understand that even with the best care, it is possible that my pet(s) could become ill, injured or experience an emergency while boarding at this facility. In the event that any of this happens, I understand that this boarding facility will call on the veterinary medical staff of Wilkinson Animal Hospital for my pet(s) medical needs. If treatment, medicine, or doctor / nurse care is needed, I give my permission to do whatever is deemed necessary for my pet. I understand that in the event that extensive care is needed, the staff of the hospital will make every attempt to contact me at my emergency number as soon as any emergency situation is stabilized. I understand that this medical care will be at my expense.

      I agree to board my pet(s) at the boarding facility within Wilkinson Animal Hospital and agree to the written policy, which I have read and understood.

      *E-Signature:

      *Date:

      Pet's Name:

      Owner's Name:

      Breed:

      Sex:

      Age:

      Emergency Contact Name:

      Emergency Contact Number:

      Flea and Tick Policy
      We strive to keep a flea & tick free facility. All pets will be administered CAPSTAR flea treatment on entry to the facility to ensure no fleas enter the facility with your pet. This is very safe & will not interfere with any other flea products or medicines that your pet is taking. The charge for this treatment is $6.85 – 8.50. Pets found to have ticks will be immediately treated at the expense of the owner. The best way to treat ticks will be determined by our medical staff and the cost may vary depending on the amount of ticks present.

      Optional Services (provided at your request):

      List below any medications you pet needs to be given while boarding

      IMPORTANT: PLEASE READ AND SIGN BELOW
      I understand that the earliest time I can pick up my pet is 9:30 AM and the latest is 45 minutes before closing time. Please call on pick up day for a time your pet will be ready if being bathed or groomed. Some pets become messy during their stay and must be cleaned. Should my pet become messy, a cleansing bath will be done at my expense. If my pet should need medical attention, I authorize Wilkinson Animal Hospital, P.A. to treat my pet at my expense as described in the boarding agreement, which I have signed.

      *E-Signature

      *Date:

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      Meet the team
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      Pet Health Articles

      • Dogs
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        • Finding A Reputable Breeder
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      Main

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      Contact Information

      • Address
        513 Ledwell Street Gastonia, NC 28056
      • Phone
        704-457-7600
      • Email
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      Wilkinson Animal Hospital

      Animal Hospital Hours

      • Monday:
        7:30am - 5:30pm
      • Tuesday:
        7:30am - 5:30pm
      • Wednesday:
        7:30am - 5:30pm
      • Thursday:
        7:30am - 5:30pm
      • Friday:
        7:30am - 5:30pm
      • Saturday:
        8:00am - 12:00pm
      • Sunday:
        Closed
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