Save Some Time with Online Forms

Instead of filling out all your forms at the clinic, save yourself some time and fill out our online forms! You'll find just about any form you need. If you're not sure what forms your pet's next visit will require, please contact us today to clarify!

Online Forms: Dog Carrying Newspaper

New Client Form

New Client Form

Information About You

Name
Name
First
Last
Spouse's Name
Spouse's Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Which number is the preferred number to be contacted on?
May we contact you at work?

The DEA is now requiring the pet owner’s date of birth to dispense any controlled medications.  Even if your pet is not currently on a controlled medication, they may be in need of one in the future.  To prevent delays in filling these medications as a new prescription or refilling a prescription for these medications, please include your date of birth in this field. 

PennHIP Information Sheet

Penn HIP Information Sheet

Information About You

Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal

Dog Information

Client Information Update

Client Information Update

Please complete all the fields below so we can ensure all your information is up to date in our system.

Name
Name
First
Last
The DEA is now requiring the pet owner’s date of birth to dispense any controlled medications.  Even if your pet is not currently on a controlled medication, they may be in need of one in the future. To prevent delays in filling these medications as a new prescription or refilling a prescription for these medications, please include your date of birth in this field.
Spouse Name
Spouse Name
First
Last
Address
Address
City
State/Province
Zip/Postal
May we contact your work number?
Preferred number to be contacted on
Select preferred method(s) of contact (check all that apply)
Does your pet get anxious when visiting our hospital?
Do you currently give any anti-anxiety medications for any reason?
Preferred Doctor

Thank you for completing this form. By signing below you are verifying that all of the above information is accurate.

Photography Release Form

Photography Release Form
Name
Name
First
Last
I hereby authorize Bowman Animal Hospital and Cat Clinic, Inc., hereafter referred to as “Company”, to publish photographs taken of my pet, and/or myself, for the use of Bowman Animal Hospital and Cat Clinic’s print, online and video-based materials.
I further acknowledge that my participation is voluntary and that I will not receive financial compensation of any type associated with the taking or publication of these photographs or participation in company marketing materials or other Company publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever.
I hereby release Bowman Animal Hospital and Cat Clinic, Inc., its employees and any third parties involved in the creation or publication of marketing materials, from liability for any claims by me or any third party in connection with my participation.

CPR/DNR Consent

CPR/Life Saving Measures Consent Form
Name
Name
First
Last

Please Select ONE of the Following CPR Options:  

In the event that your pet should experience cardiac or respiratory arrest while in our care, do you give consent for resuscitative efforts to be initiated until you can be contacted and notified of your pet’s status?

By consenting to this service, you are also acknowledging that fees associated with these services will apply. If you are not able to be contacted immediately, resuscitation efforts will be continued to be performed at the doctor’s discretion, and you will be responsible for all costs associated with these efforts.

I, the owner, hereby give my consent to Bowman Animal Hospital to perform CPR in the event of arrest.
I, the owner, elect a “DO NOT RESUSCITATE” status and decline CPR in the event of arrest.

Ultrasound Consent

Ultrasound/Biopsy Release Form
Name
Name
First
Last
Type of Ultrasound
I understand that all pets must be shaved for routine ultrasounds.
I authorize shaving of my pet’s abdomen and/or chest for this procedure.
I, the owner of the my pet, hereby give my consent to Bowman Animal Hospital to perform the procedure(s) listed.
Please select ONE of the following
Please select ONE of the Following Biopsy/Aspirate Options
Please read and select ONE of the following
Please select ONE of the following
I have reviewed the above material and am comfortable with allowing my pet to stay at Bowman Animal Hospital for the above procedure(s). I understand that Bowman Animal Hospital is not staffed overnight – 6:00pm until 6:00am. I have had all my questions answered and fully understand the procedures to be performed and the associated risks. As the owner or agent of my pet, I hereby give my consent to Bowman Animal Hospital to perform the above said procedure(s).

Surgical Specialist Surgery Consent

Surgical Specialist Surgery Consent

***If this form is not complete, the surgery will have to be rescheduled***

Name
Name
First
Last
I have been advised as to the nature of the surgery described above and the risks involved. I authorize, Dr. Rebecca Tudor, DACVS or Dr. Patrick Loftin, DACVS. I also understand that the above clinic/hospital (with assistance of the TVSS team as needed) will be using appropriate anesthetics and medications needed to perform this surgical procedure and will be responsible for monitoring my pet.
Doctor to perform the surgery
Picture Consent

Surgery & Anesthesia Consent

Surgery & Anesthesia Consent Form
Name
Name
First
Last
I acknowledge that my pet must be current on all required vaccinations and that my pet is free of any external parasites. If fleas or ticks are found, I understand that my pet will be treated at my expense.
I recognize that all patients are required to have pre-surgical bloodwork prior to all anesthetic procedures. These selected laboratory tests are necessary to help assess my pet’s ability to safely undergo anesthesia and identify certain potential problems that could endanger my pet.
I understand that any anesthetic procedure poses some risk to my pet and that precautions will be taken to minimize such risks. In the unlikely event of an anesthetic complication or emergency, I authorize Bowman Animal Hospital to carry out such procedures and treatments deemed appropriate to stabilize my pet. I realize that I will be responsible for charges associated with such procedures and treatments.
I understand that in certain circumstances a condition may exist that is not evident on a physical examination or pre-anesthetic blood work. Therefore, I authorize the placement of an intravenous (IV) catheter that will allow the delivery of IV fluids to assist in the maintenance of blood pressure and allow rapid access for IV drug administration to my pet in the event an emergency situation develops.
I understand that it may be necessary to shave or clip hair from the IV catheter site and/or other areas.
I certify to the best of my knowledge that my pet has not eaten today. I understand that if my pet has eaten within the past twelve hours, the surgical procedure may be delayed due to the increased risk of complications during anesthesia.
I understand that the estimate given is only an estimate and is based on a pre-anesthetic examination. New information which comes to light during the more detailed examination, following the induction of general anesthesia, may make the estimate invalid.
Please read and select one of the following
I have reviewed the above material and am comfortable with allowing my pet to stay at Bowman Animal Hospital for the above procedure(s). I have had all my questions answered and fully understand the procedures to be performed and the associated risks.
As the owner or agent of my pet, I hereby give my consent to Bowman Animal Hospital to perform the above said procedure(s).
I understand that Bowman Animal Hospital is not staffed overnight – 6:00pm until 6:00am.

Please remove your pet’s food prior to bed the night before their procedure. Surgical patients must be scheduled for a check-in appointment first thing in the morning (between 7:10am and 7:45am). Your pet will stay with us the entire day and discharge is expected after 5:00pm. The doctor or team will call to schedule a discharge appointment time once your pet’s procedure is complete and they are in recovery.

Bath Check-In & Consent

Bath Check-In & Consent
Name
Name
First
Last
Anal gland expression is not recommended unless your pet is scooting or having issues. Do you wish for your pet’s anal glands to be expressed today?
Nail Grind (Additional Charge)
Bandana

All patients admitted for a bath must be current on all required vaccinations (including Bordetella) and have a negative fecal test or have been dewormed within the last year.  Any animals found to have fleas or ticks will be treated at the owner’s expense.  

Glucose Curve Check-in

Glucose Check-In Questionnaire
Name
Name
First
Last

Please bring insulin, food, and all other medications when you drop your pet off for their Glucose Curse appointment.

Grooming Consent Form

Grooming Consent Form
Name
Name
First
Last
I understand that in the best interest of my pet’s health, Bowman Animal Hospital recommends my pet be examined by a staff veterinarian annually. If I decline to have my pet examined by a veterinarian at Bowman Animal Hospital, my pet’s full medical history must be on file and if my pet needs to be seen during a grooming appointment, I will pay a same day exam fee.
I acknowledge that my pet must be current on all required vaccinations and that my pet is free of any external parasites. If fleas or ticks are found, I understand that my pet will be treated at my expense.
I give Bowman Animal Hospital permission to use my pet’s picture/video & first name on BAH social media sites and website. I understand no other personal information will be released.
In the event of an emergency situation, I authorize additional treatments deemed appropriate by the veterinarian to stabilize my pet. I acknowledge that the additional cost associated with these treatments will be my responsibility. I understand that once my pet is stabilized the attending veterinarian will call with a revised treatment estimate and to discuss further treatment options.
I have reviewed the above material and am comfortable with allowing my pet to stay at Bowman Animal Hospital for the above procedure(s). I have had all my questions answered and fully understand the procedures to be performed and the associated risks. As the owner or agent of my pet, I hereby give my consent to Bowman Animal Hospital to perform the above said procedure(s).

Maximum file size: 52.43MB

Boarding Consent

Boarding Consent
Name
Name
First
Last

Feeding Instructions

Playtimes
Give daily Kong Treat?
If yes, preferred filling?
Does your dog have a history of eating blankets?
I approve for my dog to have blankets during their stay
I acknowledge that all patients admitted for boarding must be current on all vaccinations including the Bordetella vaccination (Canine Only) & must have tested negative on an intestinal parasite check or have been dewormed within the last 6 months. If these vaccinations or tests have been performed at another hospital, a record of these services must be provided prior to the boarding reservation or at the time of check-in. If no record is provided for these services or the pet is overdue for these services, then the pet will receive the necessary vaccinations and/or tests upon admittance at the owner’s expense.
I understand that my pet must be free of external parasites such as fleas. If fleas or ticks are found, I recognize that my pet will be treated at my expense.
I would like to receive text message updates of my pet sent to my cellular phone throughout their stay. By selecting, I am consenting to receive text message updates to the number provided and acknowledge that standard messaging rates may apply.
I allow Bowman Animal Hospital permission to use my pet’s picture/video & first name on BAH social media sites and website. I understand no other personal information will be released.
I understand that Bowman Animal Hospital is not staffed overnight from 6:30pm until 6:00am Monday through Saturday and closed on Sundays with limited support staff scheduled to provide only boarding care and services.
I understand that if my pet requires medical attention outside of regular business hours, I approve my pet to be transferred by the Bowman Animal Hospital Staff to The Veterinary Specialty Hospital of North Raleigh for assessment and treatment. Furthermore, I understand that I am responsible for the separate cost of any services rendered at this outside facility in addition to the boarding and care charges incurred at Bowman Animal Hospital.
I have reviewed the above material and am comfortable with allowing my pet to stay at Bowman Animal Hospital for Boarding. I have had all my questions answered and fully understand the requirements for boarding.

Drop-Off Consent Form

Drop-Off Consent Form
Name
Name
First
Last
Primary Complaints
I recognize that North Carolina State law requires all pets to be up to date on a Rabies vaccine. If your pet has received a Rabies vaccine elsewhere, proof of an up to date Rabies is required prior to or at the time of their appointment. If verification is not received or your pet is overdue for their Rabies vaccination, your pet will be required to have a rabies vaccine OR you will incur a $30 expired Rabies handling fee at each visit.
I acknowledge that my pet must be current on all required vaccinations and that my pet is free of any external parasites. If fleas or ticks are found, I understand that my pet will be treated at my expense.
I understand that new information may come to light during the detailed examination performed and may make the estimate previously given invalid. As a result, additional procedures may be required that were not outlined in the original estimate given.
I would like text message updates of my pet sent to my cellular phone throughout the day to the following number. By initialing, I am consenting to receive text message updates to the number provided and acknowledge that standard messaging rates may apply.
I do give Bowman Animal Hospital permission to use my pet’s picture/video & first name on BAH social media sites and website. I understand no other personal information will be released.
I understand that Bowman Animal Hospital is not staffed overnight- 6:00pm till 6:00am.
I have reviewed the above material and am comfortable with allowing my pet to stay at Bowman Animal Hospital for the above procedure(s). I have had all my questions answered and fully understand the procedures to be performed and the associated risks. As the owner or agent of my pet, I hereby give my consent to Bowman Animal Hospital to perform the above said procedure(s).
Please read and select ONE of the following

Maximum file size: 52.43MB

Dental Cleaning & Oral Assessment Consent

Dental Cleaning & Oral Assessment Consent Form
Name
Name
First
Last
I acknowledge that my pet must be current on all required vaccinations and that my pet is free of any external parasites. If fleas or ticks are found, I understand that my pet will be treated at my expense.
I recognize that all patients are required to have pre-surgical bloodwork prior to all anesthetic procedures.
I understand that the practice of veterinary dentistry is not an exact science and that guarantees as to outcome are not possible. Treatment options and procedures have been explained to my satisfaction, and I give my informed consent to carry out these treatments.
I understand that the ultimate success of the proposed treatment may depend on adequate home-care and follow-up, and I acknowledge my responsibility in this regard. This is particularly so with the management of periodontal disease.
I understand that any anesthetic procedure poses some risk to the patient and that precautions will be taken to minimize such risks. In the unlikely even of an anesthetic complication, I authorize Bowman Animal Hospital to carry out such procedures and treatments deemed appropriate. I realize that I will be responsible for charges associated with such procedures and treatments.
I give Bowman Animal Hospital permission to photograph my pet for the purpose of documenting the treatment, and I understand that the photographs may be used for educational purposes. Confidentiality is assured.
I give Bowman Animal Hospital permission to perform dental extractions on my pet if they are found to be necessary and understand that I will be responsible for the any additional cost associated with such extractions. I also recognize that certain unforeseen complications, such as the small risk of jaw fracture, can possibly occur during tooth extraction.  I understand that the estimate given is only an estimate and is based on a pre-anesthetic examination. Previously undetected abnormalities or disease may become apparent during the more detailed oral examination and on the radiographs taken while your pet is under general anesthesia. As a result, I recognize the previous estimate then becomes invalid and that additional procedures may be required at additional cost.
I give Bowman Animal Hospital permission to use my pet’s picture/video & first name on BAH social media sites and website. I understand no other personal information will be released.
I have reviewed the above material and am comfortable with allowing my pet to stay at Bowman Animal Hospital for the above procedure(s). I have had all my questions answered and fully understand the procedures to be performed and the associated risks. As the owner or agent of me pet, I hereby give my consent to Bowman Animal Hospital to perform the above said procedure(s).
Please read and select ONE of the following

Please remove your pet’s food prior to bed the night before their procedure. Dental patients must be scheduled for a check-in appointment first thing in the morning (between 7:10am and 7:45am). Your pet will stay with us the entire day and discharge is expected after 5:00pm. The doctor or team will call to schedule a discharge appointment time once your pet’s procedure is complete and they are in recovery.