Wellness Plan

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Services	Without Plan	With Plan
Annual Core Vaccination	$55.50	INCLUDED
Exam (Excludes Walk-in & Emergency Exams)	$37.50	INCLUDED
Fecal Exam	$75.96	INCLUDED
Additional Exam (Excludes Walk-in & Emergency Exams	$37.50	INCLUDED
12-month Supply of Flea & Tick Prevention	$232.56	INCLUDED
TOTAL	$439.02

Services	Without Plan	With Plan
Annual Core Vaccination	$55.50	INCLUDED
Exam (Excludes Walk-in & Emergency Exams)	$37.50	INCLUDED
Fecal Exam	$75.96	INCLUDED
Additional Exam (Excludes Walk-in & Emergency Exams	$37.50	INCLUDED
12-month Supply of Flea & Tick Prevention	$465.12	INCLUDED
TOTAL	$671.58

Services	Without Plan	With Plan
Annual Core Vaccination	$63.00	INCLUDED
Exam (Excludes Walk-in & Emergency Exams)	$37.50	INCLUDED
Fecal Exam	$75.96	INCLUDED
Additional Exam (Excludes Walk-in & Emergency Exams	$37.50	INCLUDED
12-month Supply of Flea & Tick Prevention	$300.00	INCLUDED
TOTAL	$513.96

PET OWNER INFORMATION
Name*
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
VETERINARIAN INFORMATION
Veterinarian/Pet Hospital Name*
Veterinarian/Pet Hospital Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
PET INFORMATION
One Time Set Up Fee
Price: $50.00
Number of Pets
First Pet Name
First Pet Weight
Second Pet Name
Second Pet Weight
Third Pet Name
Third Pet Weight
Total
$0.00
Comments
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Canine