East Rockaway Veterinary Hospital

351 Atlantic Avenue
East Rockaway, NY 11518

(516)887-3322

www.erockvet.com

All Patients Must Be Current On Vaccinations.

Dogs (Rabies, DHLPP, Bordetella, Influenza) Cats (Rabies, FVRCP)

Dogs must be current with Heartworm Preventative and testing.

All Pets Will Receive Capstar Flea Adulticide Upon Admission

Medical Observation

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Date of Pick UP* (required)

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Please list all medications that your pet is taking and dosing schedule (required)

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AUTHORIZATION
The undersigned hereby warrants that they are the owner or authorized agent for the pet listed in this record and does consent and authorize The East Rockaway Veterinary Hospital to care for and treat said pet. If an emergency situation arises, I authorize services, including use of anesthesia if necessary, to treat my pet until such time as I can be contacted. I understand that every reasonable effort will be made to contact me as soon as possible if an emergency or unanticipated situation arises with my pet. If I am unable to be reached, I authorize the veterinarians to proceed with treatment as deemed necessary for the well being of my pet. I understand that I will be responsible for all charges incurred at check out.

*Please Note
All pets must be picked up by 1 p.m. or a 1/2 day boarding fee will be charged.

I have read the authorization notice and- (required)

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Call Us

(516) 887-3322

email us

DAY OF WEEK	OPEN TIME	CLOSE TIME
Monday	8:00 AM	6:00 PM
Tuesday	8:00 AM	7:00 PM
Wednesday	8:00 AM	5:00 PM
Thursday	8:00 AM	7:00 PM
Friday	8:00 AM	5:00 PM
Every Other Saturday	8:00 AM	2:00 PM
Sunday	Closed

East Rockaway Veterinary Hospital

Where Pets Truly Are Members of The Family

East Rockaway Veterinary Hospital

Medical Observation