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Veterinary Dental Services, LLC Form
Show Obedience Breeding Police Shutzhund Hunting Service Other Do you brush your pet s teeth Yes No How Often Daily Weekly Monthly Less Often Home care products used Notes REFERRING DOCTOR AND PRACTICE INFORMATION Doctor Practice name Practice address Phone Fax Reason for referral/relevant history Date of last dental prophylaxis Rabies vaccine expiration date Please fax or email relevant medical records lab results and a rabies certificate with this referral form. Please email digital dental...
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