Teeth Cleaning Consent

BETWEEN: Kimberly Wells – House of fluff & You, the signatory of this agreement

I understand staff will be using the Cleany Teeth ultrasound toothbrush on my dog which has no vibration, no movement and no noise. I understand staff will take before and after pictures to show me.

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 that the staff will stop the teeth cleaning session and I may need to seek veterinary assistance if: *

1. Any loose teeth are suspected

2. If my dog objects and becomes stressed or aggressive.

3. 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: *

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

2. If the session has to 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 staff in the future should this be the case.

I am aware that the teeth cleaning service is not a substitute for a veterinary inspection and staff are not qualified to diagnose abnormalities or disease.

Please enter your details, sign in the box below and submit this form to acknowledge that you have read and agree to all the conditions outlined in the above document ‘Home Boarding & Day Care Service Agreement’.

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