Charleston Harbor Veterinarians

Charleston Veterinarians | 280 Rutledge Ave, Charleston, SC 29403

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843.410.8290

Drop off Form

We’re happy to offer a drop off program for your convenience. Please also request a drop off time in our appointment scheduler and then submit this form so that we can plan for your visit. When you arrive, please call us at 843-410-8290 and we’d be glad to meet you in our parking lot to bring your pet inside.

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Your Name *

Pet's Name *

Is your pet a current patient at CHV? If no, please fill out a new client form as well. *

Reason for Visit *

Annual Exam/Vaccinations/Bloodwork
Ear or Skin Infection
Vomiting or Diarrhea
Other

If Other, Please Describe

Regular Monthly Medications/Preventatives + Date Last Given

Regular Daily Medications

Any Medications Given or Applied in the Last 7 days

Please Describe all Concerns and Symptoms or Expectations for this Visit

Preferred Method of Contact for Today *

Email
Cell
Office Phone
Text
Skype

Cell Phone

Office Phone

Skype ID

I understand my pet may be dropped off anytime between 7:30am and 10:00am. My pet must be picked up no later than 5:15pm. *

I understand the cost of the medical exam and evaluation is $50. My doctor will contact me with a recommendation and cost estimate for treatment. *

Charleston Harbor Veterinarians

280 Rutledge Ave
Charleston SC 29403

(843)410-8290
CHVteam@CharlestonVets.com

| At the intersection of the Crosstown, Rutledge Ave and Line Street |
| Free Parking On-Site | Entrance on Line Street | Use 148 Line Street For Driving Directions to Parking Lot |

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