Skip to main content
Pre-Enrollment Form Sample - Petly Plans
  • Sample Petly Plans Pre-Enrollment Form

  • Thank you for joining our practice!

    Since you are a new client, please call us at ***-***-**** so we can set up your account. We'd be happy to further discuss Petly Plans with you then!

  • Wellness Plan Information

    Please review the table below for your pet's wellness plan options. A description of each plan is included. 
  •  

     Plan Type Canine Feline
    Puppy/Kitten Silver  Insert Pricing  Insert Pricing
    Puppy/Kitten Gold  Insert Pricing  Insert Pricing
    Adult Silver  Insert Pricing  Insert Pricing
    Adult Gold  Insert Pricing  Insert Pricing
    Adult Platinum  Insert Pricing  Insert Pricing

     

    Our puppy and kitten packages
    Silver includes all the preventive care examinations, core vaccines and basic laboratory tests necessary to help protect pets against illness and disease.

    Gold is designed for comprehensive care during the first year of a pet’s life and also includes our routine spay or neuter surgery package.

    Our adult plans
    Silver includes an annual preventative care examination, core vaccine boosters and
    basic laboratory tests necessary to help protect pets against illness and disease.

    Gold is designed to keep your pet healthy and happy during the prime years of life. This plan also includes our routine dental cleaning package.

    Platinum is our most comprehensive plan, which ensures we’re looking at the
    types of diseases and conditions that affect pets in all stages of their lives.

     

    All plans require a $99.00 one-time enrollment fee per pet.

     

    All plans include:

    • Complimentary routine nail trims.
    • Preventive care examinations and core vaccines.
    • A copay examination fee on scheduled visits.
    • The option to personalize your plan by adding additional services specific to your pet’s needs.
    • Additional discounts on eligible items not included in the plan.

     

    Restrictions:

    • Plan is non-transferable.
    • Plan cannot be applied to past visits.
    • An appointment must be scheduled for services to be used.
    • Additional discounts apply to eligible non-plan items only and cannot be used with other promotions and/or discounts.
    • Additional costs may apply to nail trims in the event the patient needs sedation.
    • For plans that include a routine spay or neuter package: If patient is in heat, pregnant or cryptorchid at the time of surgery, additional fees will apply.
    • For plans that include a routine dental package: Extractions, medications, and other charges incurred during a dental cleaning are at an additional cost.

     

  • Should be Empty: