5201 Virginia Beach Blvd.
Virginia Beach, VA 23462
(757) 473-0111
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CLIENT FORMS
AVIAN HISTORY FORM
INTERNATIONAL HEALTH CERTIFICATE
NEW CLIENT / NEW PATIENT FORM
PET CARE VETERINARY HOSPITAL FINANCIAL POLICY
PRE-VISIT HISTORY QUESTIONNAIRE
REPTILE HISTORY FORM
VIRGINIA VETERINARY DISCLOSURE FORM
FEAR FREE FORMS
AVIAN FEAR FREE PRE-VISIT QUESTIONNAIRE
FEAR FREE PRE-VISIT QUESTIONNAIRE
PET MEMORIALS
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BACK TO WEBSITE
CLIENT FORMS
AVIAN HISTORY FORM
INTERNATIONAL HEALTH CERTIFICATE
NEW CLIENT / NEW PATIENT FORM
PET CARE VETERINARY HOSPITAL FINANCIAL POLICY
PRE-VISIT HISTORY QUESTIONNAIRE
REPTILE HISTORY FORM
VIRGINIA VETERINARY DISCLOSURE FORM
FEAR FREE FORMS
AVIAN FEAR FREE PRE-VISIT QUESTIONNAIRE
FEAR FREE PRE-VISIT QUESTIONNAIRE
PET MEMORIALS
Pet Care Veterinary Hospital Financial Policy
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Financial Policy
We have several payment options available but do not extend credit or offer payment plans. Payment in full is due at time of service. We may require a deposit for major procedures.
We accept: Cash, Check, Bank Credit/Debit Card, MasterCard, Visa, Discover, American Express and CareCredit.
Please note: The entire balance of all credit accounts is due and payable in accordance with the terms as stated on the invoice. The parties agree that all payments still owing after the due date may be assessed a service charge at the rate of one and one-half percent (1.5%) per month or eighteen percent (18%) per annum. In addition, in the event of default where it becomes necessary to place this account in the hands of a third party for collection, the undersigned agrees to pay all costs of collection, including reasonable attorney’s fees and court costs.
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I Understand and Accept
Email:
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(For a copy of this form for your records)
Name:
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Last
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Consult Statement for Veterinary Drug Use
Many of the drugs veterinarians prescribe for the treatment of their patients are not approved by the Federal Drug Administration (FDA) for all or any of the animal species and their use is considered “off-label”. However, it is a legal and well-accepted practice for veterinarians to prescribe these drugs. We want you to be aware that while treating patients we may use drugs that have not been approved by the FDA for use in all species.
All information that I have filled out on the client info sheet is current and up to date.
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Yes
I have read, understand and agree to the above Financial Policy and Veterinary Drug Use Statement.
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I Understand and Accept
You may use my pet’s picture on your website or social media pages.
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No
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Pet Memorial
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Pet's Name
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Your Email
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Pet's Photo
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