Blue Door Veterinary Services proudly serves the pets of Oregon

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County of Residence: Multnomah Washington Clackamas

Preferred Contact Method: Phone Email Text Message

How did you hear about us?

Accepted Methods of Payment

Payment is required at the time of service. For your convenience, we accept Mastercard, Visa, American Express, cash, or check (with a valid driver’s license). We also accept Care Credit, Pet Insurance and we are a part of the Pet Assure Network.

Consent

You may be asked to sign a health plan confirming or declining authorization of treatment after a tentative diagnosis. The details of treatment, the risks of treatment, and/or the risk of not treating will be explained to you.

Photo Consent

I grant permission to Blue Door Veterinary Services, LLC for the use of the photograph(s) or electronic media for the purposes of marketing or education. I understand that I may revoke this authorization at any time by notifying Blue Door Veterinary Services, LLC in writing. The revocation will not affect any actions taken before the receipt of the written notification. Images will be stored in a secure location and only authorized staff will have access to them. They will be kept as long as they are relevant and after that time destroyed or archived.

With my signature below, I certify that I have read and agree to the above statements and authorize Blue Door Veterinary Services, LLC to treat my pet(s).

Signature : Date :

Previous Vet who might have records on your pet(s):

Pet information (1st Pet)



Male Female

Spayed/neutered? Yes No

Does your pet have allergies? Yes No

Has your pet ever had a reaction to vaccines or medications? Yes No

Pet information (2nd Pet)



Male Female

Spayed/neutered? Yes No

Does your pet have allergies? Yes No

Has your pet ever had a reaction to vaccines or medications? Yes No

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