"*" indicates required fields Client's Name* First Last Pet's Name*I, the undersigned, certify that I own or am the legal representative for the above pet(s). I hereby consent and authorize Happy Tails Holistic Veterinary Care and its staff to perform the approved recommended veterinary care (IE: vaccines, diagnostics, medications, surgical procedures, treatments, etc.) and understand that I can ask for an estimate at any time, noting that the initial estimate is a base point and is subject to change based on the veterinarian's findings and recommendations. I have the right to decline diagnostics and recommended treatments, I understand Happy Tails Holistic Veterinary Care is not responsible for the outcome should I decline treatment plans.*InitialNote: All refill requests can take up to 48-72 business hours to be submitted, approved by the DVM, and filled by the technician. All patients must have been seen within 12 months for re-occurring medication refills. I understand if I come into the clinic requesting a refill, I may have to return to pick it up to go through the required policies.*InitialI understand that if I have a technician appointment my pet(s) will be taken to the treatment area and then returned to me in the lobby. I understand that if I have any health concerns, I must make a Veterinary appointment, as a technician can not diagnose or prescribe anything for my pet(s). Furthermore, I understand the policies of clients not being permitted into the treatment area for safety and to comply with the pharmaceutical laws.*InitialI understand Happy Tails Holistic Veterinary Care has trained staff to restrain my pet(s). If my pet is overly anxious or fractious, I understand that medications (oral or injectable) may be suggested to calm my pet(s) for treatment plans to be performed.*InitialI understand that not all calls or emails can be answered promptly as the clinic is growing daily, if my pet(s) are showing signs of distress: having labored breathing, pale gums, EXTREME lethargy, unable to urinate, snake bites and dog fights, broken bones, continuos vomiting, etc. that are considered a emergency then you MUST go to a urgent care or ER veterinarian. General practice clinics do not have the necessary equipment or the proper staffing to handle emergencies.*InitialI Understand that I am responsible for full payment when services are rendered. Happy Tails Holistic Veterinary Care accepts cash, checks, debit, and credit - all credit cards incur a 3.5% service fee through our POS.*InitialI agree to have my pet(s) image used, no medical or personal information shared, for marketing and educational purposes.*InitialI have read, understood, and verified all information provided by me to care for my pet(s). Signature*Date* MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.
