Pet Information

Vaccinations (date last given)

Disease/Parasite Screening: (Date last done and result)

Current Symptoms

IMPORTANT NOTICE

Fasting your pet at least 4 hours prior to the appointment in the event bloodwork is required, as well as bringing their most recent fecal sample and not allowing them to urinate upon arrival in case we need that sample will be most helpful.

PAYMENT POLICY

We will provide you with an estimate of fees for your pet’s medical care. You will have the opportunity to approve or decline all recommended procedures or medications. Your estimate will be adjusted to reflect only the services that you wish to pursue. Upon approval of the estimate, you will be invoiced for the items approved. THE BALANCE IS DUE AT DISCHARGE. HOSPITALIZATION/ANESTHESIA PROCEDURES If your pet is admitted to hospital due to an illness or if scheduled for a sedation or an anesthesia procedure, you will be required to pay a deposit which will be the total amount of the low-end of the estimate provided for the procedure. If you cannot meet this requirement, our front desk team can assist you in applying for Care Credit.

CONSENT, ACKNOWLEDGEMENT AND WAIVER

I hereby certify that, to the best of my knowledge, the information provided about my pet is true and accurate. I also understand that payment for services received is due at the time of my pet’s discharge. Depending on the nature of the service and/or time it takes to complete my pet’s treatment I understand that I may be required to drop off my pet and that partial payment may be requested at the time of drop off.