Veterinarian Release Form - Aquatic Bodywork And Massage printable pdf download

Veterinarian Release Form - Aquatic Bodywork And Massage

Veterinarian Release Form

Aquatic Bodywork and Massage

At Paradise Pet Spa, we work in conjunction with Veterinarians to create a rehabilitation program to best suit

the clients’ individual needs. Please fill out the following information and fax to (360) 668-2269. Thank you for

your time.

Pet’s Name: _____________________________ Client’s Name: ____________________________________

Reason for visit: __________________________________________________________________________

________________________________________________________________________________________

Recommended swim and/or massage program:

Warm Water Therapy:

(Please circle one)

30 minute sessions

60 minute sessions

Number of sessions per week? ________________ How many weeks? ________________

Therapeutic Massage:

(Please circle one)

30 minute sessions

60 minute sessions

Number of sessions per week? ________________ How many weeks? ________________

Limitations/ Restrictions:

________________________________________________________________________________________

I acknowledge that aquatic bodywork (swimming) is a cardiovascular exercise and aquatic bodywork and/or

massage is appropriate for this animal.

Clinic Name: ____________________________ Phone #: ____________________________

Veterinarian’s Signature: ____________________________ Date: _____________________

Veterinarian Release Form - Aquatic Bodywork And Massage