Animal Dental Clinic offers our patient form(s) online so you can complete it in the convenience of your own home or office.

  • If you do not already have AdobeReader┬« installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.
  • You can submit forms online.

BLOOD WORK REQUIREMENTS: Please email to info@adcva.com:

  • Less than 6 months required on the day of the procedure: CBC with differential, chemistry panel of at least 15, and electrolytes.
  • over 6 months up to 4 years require the following within 1 year: CBC with differential, chemistry panel of at least 15, and electrolytes.
  • 4 to 6 years require the following within 6 months: CBC with differential, chemistry panel of at least 15, and electrolytes.
  • Dogs over 15 lbs. 7 to 14 years require the following within 3 months: CBC with differential, chemistry panel of at least 17, electrolytes, and T4
  • Cats 7 to 9 years years require the following within 3 months: CBC with differential, chemistry panel of at least 17, electrolytes, and T4
  • Cats 10 to 14 years OR Dogs 15 lbs and under that are 7 years or older require the following within 30 days: CBC with differential, chemistry panel of at least 17, electrolytes, and T4
  • Any animal 15 years or older require the following on the day of their procedure at Animal Dental Clinic: CBC with differential, chemistry panel of at least 17, electrolytes, and T4
  • Please Note: Some breeds, sizes, and health concerns may change these timelines. Please consult a staff member for additional information.

New Client / New Patient Form

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Referral Form

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