Animal Dental Specialists of Upstate New York

6867 East Genesee Street
Fayetteville, NY 13066

(315)445-5640

www.adsuny.com

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Printable Client Forms 

 

 

Below are some our hospital forms. Please familiarize yourself with them ahead of your appointment. Filling out the appropriate forms ahead of time may help facilitate a quicker check in and/or appointment. Feel free to call our office if you have questions regarding which forms are appropriate for your appointment. 

File NameDescription / Comment
Canine Dental ChartOnce your pet’s full-mouth dental radiographs have been completed, Dr. Davis will be calling you with his assessment and an updated treatment plan. This chart can be used as a guide to help you follow which teeth he is referring to.
Feline Dental ChartOnce your pet’s full-mouth dental radiographs have been completed, Dr. Davis will be calling you with his assessment and an updated treatment plan. This chart can be used as a guide to help you follow which teeth he is referring to.
Medical Authorization FormPlease review this form ahead of your dental procedure appointment for a quicker check in.
Medical Record Release FormIf you would like your pet's medical records release to anyone other than yourself and your referring/regular veterinarian, please fill out this form and return it to our office by email, fax, or postal mail.
New Client FormYou can fill this form out and bring it with you to your first appointment for a quicker check in.
Referral Form -- FOR DVMsThis form is to be filled out by your regular veterinarian and sent to our office ahead of your appointment.