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Agree that all fees will be paid in full at the time services are rendered. Signature. New Client Information Please email completed form to itchypetskinvet gmail.com Date Client s name Spouse s name Address City State Zip code Preferred phone number Cell Home Work Cell phone Home phone Employer Work phone E-mail address Pet s name Pet s breed Pet s age Pet s color Pet s sex Spayed or neutered Veterinarian that referred you Clinic name Clinic address Clinic phone Clinic fax www....