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Tranquil Paws Wellness | Pet Acupuncture
Pet Acupuncture in Columbus, Ohio
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SERVICES
Mobile Pet Acupuncture
Laser Therapy
Where We Work
FAQ
What is Pet Acupuncture?
How Does Acupuncture Work?
Side Effects & Risks
What Conditions Does It Treat?
What to Expect in a Session
ABOUT
Dr. Melanie Falato
Testimonials
FORMS
New Client Information Form
Informed Consent Form
CONTACT US
REQUEST APPOINTMENT
ABOUT PET ACUPUNCTURE
FAQs
WHERE WE WORK
DR. MELANIE FALATO
NEW PATIENT FORMS
Client Form
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Client Form
We’d love to learn more about you and your pet. Fill out the form below and we will be in touch soon!
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Client Information
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First
Last
Email
*
Phone Number
Address
City, State & Zip
How did you hear about Tranquil Paws?
My Veterinarian
Internet
A Friend or Family
We appreciate referrals! Please tell us who referred you so we can thank them.
Preferred Contact Method
Email
Text
Call
Preferred Payment Method
Credit Card
Cash
* Some Pet Insurances do cover the cost of these services. Please refer to your specific plan for the details. If they cover these services, Tranquil Paws can provide you the documentation to submit for reimbursement by your plan.
Pets Name
Date of Birth / Approximate Age
Breed
Color
Gender
Female
Male
Neutered
Spayed
Intact
Primary Vetrinarian
Vetrinarian's Phone Number
Date of Rabies Vaccine
This information is required for visit.
Current Diet Fed
Allergies
Current Medications, Supplements & Herbs
Major Medical History
Does your Pet have any of the following:
Aggression
Anxiety
Bleeding Disorders
Seizures
Tumors / Cancers
Pregnant
By checking below, I am submitting information to the best of my knowledge. This submission does not guarantee services or any results from services rendered. I authorize Tranquil Pets Acupuncture & Wellness Services to contact me.
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