Please download the applicable form, fill out to the best of your ability, and bring with you to our first meeting. Thank you!
Patient Registration Form
General History Intake Form
HIPAA Notice of Privacy Practices Form
Informed Consent for Services and Service Agreement Form
Acknowledgement of Receipt of Privacy Notification Form
GMM Event Sponsorship Request Letter Form
GMM Release of Information Form
Please Help Us Heal Others.
It takes more than time to help others through the miracle of animal therapy.
Grey Muzzle Manor provides medical care, hospice care, euthanasia, adoption, foster care, and long-term foster care for all animals. Please find it in your hearts to help our cause and donate what you can today!
Grey Muzzle Manor is registered as a non-profit charitable organization. Donations are tax-exempt.
We are Proud Members of
Grey Muzzle Manor
1164 Blattadahl Road
Mohrsville, PA 19541
By Appointment Only
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