Animal Dental Clinic | Phone: (703) 281-5900
410 Maple Ave, West, Suite 1, Vienna, VA 22180

Monday- Friday 7 am - 4 pm | Sat & Sun Closed

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New Patient Form

  • Pet’s Information

  • When?
  • I have read, understand, and agree to the following:

    • Payment is expected as services are rendered. Discover, Visa, MasterCard, American Express, Care Credit, and Cash are the accepted forms of payment.
    • Animal Dental Clinic will no longer be accepting personal checks.
    • A written treatment plan will be provided at any time, upon my request.
    • A small amount of fur may need to be clipped for monitoring/IV catheter placement.
    • If I need to reschedule my appointment I will give 48 hours notice. If I cancel with less that 48 hours notice or miss an appointment, a fee will be assessed.
    • Photos may be taken of my pet’s procedure for educational purposes.

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