Lucy the Dog Groomer - Teeth Cleaning Consent

Details

Owner's Name *

Phone Number *

Today's Date *

Dog's Name *

Dog's Breed *

Dog's age at present time *

Consent

*

I understand Lucy the Dog Groomer will be using Cleany Teeth ultrasound toothbrush on my dog which has no vibration movement or noise.

*

I consent to the use of a tooth de-scaler on my dogs teeth in a kind and gentle manner; to remove any loose tartar, plaque or stains from the teeth.

*

I understand and consent to Lucy the Dog groomer taking before and after photos to show me and to be displayed on the Lucy the Dog Groomer website or social media pages.

I understand that Lucy the Dog Groomer will stop the teeth cleaning session and I may need to seek veterinary assistance if:

*

Any loose teeth are suspected

*

My dog objects and becomes stressed or aggressive

Any obvious abnormalities are visible or suspected in the mouth such as: A foreign body embedded in the mouth, oral warts, oral injuries or tumours

I understand that:

*

There may be some minor bleeding of the gums during and after teeth cleaning as the tartar and the plaque is removed.

*

If the session must stop for any health or behaviour reasons, I will still pay for the full session taking place.

I declare that:

*

I do not know of any medical reason why teeth cleaning cannot be carried out on my dog and I acknowledge that it is my responsibility to inform Lucy the Dog Groomer in the future should this be the case.

Signature

Clear

Print Name *

Date *

Teeth Cleaning Consent

Details

Consent

I understand that Lucy the Dog Groomer will stop the teeth cleaning session and I may need to seek veterinary assistance if:

I understand that:

Ultrasonic Teeth Cleaning:

I declare that:

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