Heath's Dog Grooming

Client Intake Form

To schedule an appointment, please fill out this intake form. We will reach out via email to get your pup scheduled for their spa day.

Your Name (First & Last):

Email Address:

Phone Number:

Dog’s Name:

Breed(s):

Age (in years):

Sex:

Is your dog altered (spayed or neutered)?

What type of coat does your dog have?

Condition of Coat:

Health or Behavioral Issues:

Any known allergies to fragrant shampoos or conditioners? If yes, or if requested at drop off, we’ll use hypoallergenic shampoo and conditioner with no fragrance or dye.

What can we do for you?

Proof of rabies vaccine must be provided on or before arrival.

I acknowledge

Upload proof of rabies vaccination: