(510)460-9800 Gentlecarehospital@gmail.com

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Drop Off Consent Form

Our Drop Off Consent Form

Save time during your next appointment! Complete the form online from any device at any time before your visit.

Drop Off Consent Form

Please complete this form with your and your pet’s basic information so that we may effectively and efficiently provide the service you deserve!

Name *

First

Last

Email *

Phone *

Check-In Date *

Check-Out Date *

Pet's Name *

Emergency Contact *

First

Last

Emergency Contact Phone *

If a critical/life threatening problem develops and we can't reach you, may we treat your pet(s)? *

Yes
No

How much do you authorize Gentle Care Veterinary Hospital for treatment? *

I authorize any amount necessary for the treatment of my pet at Gentle Care Veterinary Hospital.
I authorize a maximum amount to be used towards my pet's care at Gentle Care Veterinary Hospital.

Please specify the maximum $ amount to be used toward your pet's care. *

Please list feeding instructions. *

When is your pet due for their next meal? *

Did you bring food for your pets? *

Yes
No

Please list any medications that your pets need while boarding, along with instructions.

Are you leaving any of the following?

Collar/Leash
Carrier
Bedding
Other

Please explain. *

Please list any procedures you would like performed during your pets' stay: (e.g. nail trim)

NOTICE: Personnel are not on the premises at night and other times when the Gentle Care Veterinary Hospital Clinic is not open for business. *

I have read and understand.

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Book an Appointment

We proudly serve the pets of Hayward, Castro valley, San Leandro, Union City, Fremont, Oakland, San Lorenzo, Berkeley, and surrounding areas. We look forward to seeing you and your pet. Easily request an appointment for your pet by clicking the button below!

Have A Questions?

Fill out our online form, and a member of our team will get back to you as quickly as possible.

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Location

22755 Grand St. Hayward, CA 94541

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Contact Information

P: 510-460-9800
E: Gentlecarehospital@gmail.com

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Hours

Mon-Fri: 9:00 am – 6:00 pm
Sat & Sun: Closed

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Last

Email *

Phone

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