Is your pet coming in for a Procedure?

You can fill out this annual exam form and securely online by filling in the form below.

By clicking on the submit button above, I hereby authorize Plaistow-Kingston Animal Medical Center to perform such diagnostics, therapeutic and surgical procedures as described above. The nature of such services has been described to me to my satisfaction and I realize that no guarantee nor warranty can ethically or professionally be made regarding the result or cure. I also authorize the clinic staff in an emergency situation, to follow through with such procedures as are necessary for the well being of my pet on a continuing basis until further communication with me. I understand that I assume financial responsibility for all services rendered.