Pet Care Promise Claim

"*" indicates required fields

I authorize the release of my pet's medical records to Bark-A-Bout.*

Yes, I authorize the release of my pet's medical records to Bark-A-Bout.

No, I do authorize the release of my pet's medical records to Bark-A-Bout.
Owner Name*
First Last
Pet Name*
First
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reason For Vet Visit*
Illness
Injury
What injury or illness did your veterinarian diagnose?*
A diagnosis is the medical condition treated. Please do not list symptoms (for example, Limping. Lameness or infections are symptoms of injuries or illnesses). Your veterinarian can help you with the diagnosis. Include a copy of your pet's treatment records and lab results for this visit if there is more than one diagnoses being treated, your pet stayed at the hospital overnight, or the diagnosis has not been determined.

Treatment Date, From:*
MM slash DD slash YYYY

Treatment Date, To:*
MM slash DD slash YYYY

Veterinarian Name*
First
Veterinarian / Hospital Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Invoice Total* ($):*
*You must submit itemized invoices with your claim form to medical@barkabout.net. Please do not send estimates.

Signature*
By signing this Claim Form, I confirm that to the best of my knowledge, the information I have provided is true and correct. I authorize the release of my pet's medical records to Bark-A-Bout.

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“Cooper came home perfectly groomed and soooo happy to have played with other dogs. Staff is welcoming and very pet friendly. It’s apparent they love their work. Highly recommend groomers and day care!!!”
- Patricia O.

“We took our puppy Reggie for a Meet~N~Greet last week and he had a blast. At first he was a little scared, but by the afternoon he was running with the pack. We took our last dog to Bark-A-Bout many times and it has always been a safe and well-run business. Highly recommended!”
- Brent H.

“Absolutely love this place! The moment I entered the door I knew this is where my puppy needs to be! Everyone was kind and made our 1st day so pleasant! Very clean and so much space for plenty of exercise! The added extras are a plus as well!”
- Suzanne N.

Pet Care Promise Claim

Pet Care Promise Claim

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