To ensure the best possible care, please completely fill out this form. Thank you for giving us the opportunity to care for your pet.
Our Email: vetsaverspethospital@gmail.com
Sex: Male Neutered -
Female Spayed -
I hereby authorize the veterinarian to examine, prescribe, and/or treat the above described pet. I assume responsibility for any and all charges incurred for the treatment/care of my pet. I also understand that these charges are to be paid at the time of release and that a deposit or prepayment may be required for approved treatments.
I understand that failure to reschedule or cancel my appointment 24 hours in advance, by phone during regular business hours, will result in a $39.00 no show or late cancel fee.
Same day cancelation or rescheduling will incur a $39.00 fee. Payment is required before appointments can be scheduled. Accounts with NoShow/Late Cancel fees are on hold until payment is received.
For the safety of our staff, clients, children and other pets, YOU MUST INFORM US NOW if your pet has ever bitten or shown signs of aggression or fear toward another animal or human.
If your pet has aggressive behavior, you must be able to safely place a muzzle on your pet. Without a muzzle, we will not be able to provide medical services.
PLEASE INITIAL ACCEPT (NOT OPTIONAL):
We are required to report all bites to Animal Control and your pet will be quarantined at your expense.
Vetsavers Pet Hospital is a non-discriminatory, equal opportunity environment. We do not tolerate discrimination on the basis of race, color, gender, age, sexual orientation or any other legally protected factor. In the event a client discriminates against any Vetsavers staff member, we must immediately terminate the veterinary patient/client relationship.
