Name *

First Name

Last Name

Drop-off Date *

MM

DD

YYYY

Agreement *

I understand that all patient update requests will usually receive a response from the Aark Wildlife Clinic within 5 business days, but may take longer if a request is submitted during peak intake periods. I agree not to submit more than one request per week. I understand that patient updates may be caught by my email's spam filter and I will need to check for my update after 5 business days before submitting another request.

Yes - I have read the agreement and understand. Please send me a patient update.

No - Please do not send me a patient update.