Client Application Form

If you prefer, you can download, print, and return the Client Application Form.

Also, please Download, Print, and Sign the Client Application Release Form

"*" indicates required fields

Address
Veterinarian Information
Enter Regular Vet, Orthopedic Vet, Chiropractor, Acupuncturist, other relevant Vets.
Vet Name
Phone
 
Has your dog had a recent injury?
Has your dog had a recent surgery?
When was the surgery? By Whom? What side it was performed on? Etc.
Does your dog have any problems with bowel/bladder control?
Please do not use topical flea/tick products on your pup within 5 days of your spa session. Studies have shown that these products can leach into the pool and onto your therapist! Thank you!
Where/How does he spend the day? The night?
Do you have children?
Do you have other dogs?
Does your dog enjoy swimming after toys?
Does your dog enjoy being held and massaged?
Please list the supplement, how often given, reason given and by whom they were prescribed.
Please list the medication, how often given, reason given and by whom they were prescribed.
Agreement*
This field is for validation purposes and should be left unchanged.