Hospitalization Drop-off Form

Thank you for choosing Brooklyn Road Veterinary Clinic as your preferred Jackson, MI veterinarian! Please fill out the below form as thoroughly as possible.

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Hospitalization Drop-off

We are glad to have the opportunity to care for your pet. To ensure your pet gets the best care we can offer, please fill out the following form completely. Please Note: All * fields are required.

Your pet is scheduled for drop off within the next several days to have a procedure performed.  Please remove food so none is eaten after 12:00 Midnight the night before.  Water is allowed unless otherwise directed.  Please fill out this form and then select "Submit" so we can make your experience easier and faster.  PLEASE BE VERY CLEAR ABOUT WHAT PROCEDURES YOU EXPECT TO BE COMPLETED AS ONLY THOSE INDICATED AND APPROVED ON THIS FORM WILL BE DONE. It is critical that we have clear communication with you.  Several different people may be involved and even if you spoke with someone previously, this form is what will be used during the procedure.  Any extra procedures that were not discussed when scheduled can not be guaranteed and will only be done if time allows. 

It is imperative that we are able to reach you while your pet is in the clinic. Please list your cell phone number so we can call or text you with information or questions.

Health Questions

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