Drop-Off Form

  • Due to the current COVID recommendations, we have elected to use this form to streamline the drop off process. Please complete this form and let us know when you are ready for a staff member to come out to get your pet by calling (919) 489-9194. Thank you for your patience.
  • MM slash DD slash YYYY
  • Being responsible for the above-described animal, I have the authority to grant you my consent to receive, prescribe for, treat and/or operate on my pet.
  • Owner/Responsible Party
  • MM slash DD slash YYYY
COVID-19 ANNOUNCEMENT: Due to the recent increase in COVID-19 cases, we are now requiring all staff and clients to wear masks while in the building, regardless of vaccination status. The safety of both our staff and clients is of the utmost importance to Cornwallis Road Animal Hospital. Thank you for your continued support.
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