Strathroy Animal Clinic
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Name:
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Phone:
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Email:
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Pet:
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Pet Species:
Pet Species
Dog
Cat
Horse
Bird
Rabbit
Other
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First Choice Date:
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Second Choice Date:
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Service requested:
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Annual Physical Exam
Gland Expression
Laser
Nail Trim
Preventative Checkup
Rehab
Sick Pet
Vaccinations
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Verification:
Strathroy Animal Clinic
425 Frances St
Strathroy
,
ON
N7G 2L7
(519) 245-1153