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Welcome to Countryside Animal Clinic of Deland

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    My location preference for picking up products is ...

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    Owner's Name

    Co-Owner / Spouse / Secondary

    Street Address

    City, State, Zip

    Mailing Address (if different)

    City, State, Zip

    Countryside Animal Clinic utilizes an in-house email and text messaging system for vaccines and appointments. Do you also want to receive reminder post cards?

    I give Countryside Animal Clinic permission to take and use photographs of my pet for any lawful purpose including publishing in print and/or electronically.

    Cell Phone (Primary Phone)

    Home Phone

    Secondary Phone

    Email

    Photo of your Pet

    Does your pet have an Instagram page we can follow? (Follow us @CountrysideAC)