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Registration
ONLY FILL THIS OUT IF YOU HAVE A SCHEDULED APPOINTMENT!
First name
Last name
Email
Street Address
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Phone
Pets Name
Pets Breed
Pets Age
Color
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Brief description of what is wrong with your pet
*I understand that the state of Texas considers acupuncture, chiropractic and laser therapy to be alternative medicine. By clicking this box I agree to my pet recieving these therapies.
I agree to recieve text messages from Back in Motion Veterinary Services about my appointments or updates on my animal
I acknowledge the initial consult is $150. Treatments are additional. Chiropractic $60, Acupuncture $80, Laser $60. Any additional services and costs will be discussed during the appointment.
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