New Patient Consent Form

PHOTO RELEASE AND SOCIAL MEDIA CONSENT

TREATMENT CONSENT

I hereby authorize the veterinarian to examine, prescribe for, and/or treat my pet(s).

PAYMENT CONSENT

I assume responsibility for all charges incurred in the care of my pet(s). I understand that PAYMENT IS REQUIRED IN FULL AT THE TIME SERVICE IS RENDERED. I recognize that financial concerns should be discussed PRIOR to exam and treatment, and that a cost estimate can be provided before the visit if there are any financial concerns.

Cash and personal checks (made payable to Doorstep Vet Care) are also acceptable

GENERAL POLICY

It is required that a Veterinarian-Patient-Client-Relationship (VPCR) exists prior to prescribing medications and providing a diagnosis/treatment(s). To establish and maintain a VPCR, we require that the patient be examined at least once yearly. The VPCR can be terminated at any time by either Doorstep Veterinary Care or the client.

COVID-19 POLICY

• All clients and family members present MUST wear a mask or cloth face covering over their nose and mouth during the entire visit despite your COVID-19 vaccination status.
• In order to protect you and our staff, we are asking about symptoms and exposure to COVID-19:


• If you are experiencing any NEW symptom(s), unrelated to a pre-existing health problem, such as cough, fever, chills/shaking, fatigue, shortness of breath/difficulty breathing, headache, loss of taste or smell, muscle aches/pains, sore throat, congestion or runny nose, nausea/vomiting, or diarrhea - PLEASE RESCHEDULE YOUR APPOINTMENT 14 days after the onset of your symptoms.


• If you have tested positive, or have been exposed to someone with presumptive or confirmed COVID-19, PLEASE RESCHEDULE YOUR APPOINTMENT 10-14 days after the start of your quarantine, or 2 days after a NEGATIVE COVID-19 test result.
• You understand that COVID-19 virus spreads through close contact from person to person, including between people who are physically near each other (within about 6 feet), and that people who are infected but do not show symptoms can also spread the virus to others. With that said, Doorstep Veterinary Care will maintain all appropriate safety measures during the visit, but you accept all health risks associated with COVID-19 transmission, and you will not hold Doorstep Veterinary Care accountable for any possible COVID-19 exposure.

FINANCIAL POLICY

• Payment is required in full at the time service is rendered.
• We accept contactless payments, cash, checks and credit cards.
• It is the client’s responsibility to request an estimate prior to services rendered.
• Unpaid balances will incur a service charge of 1.5% per month.

Return Policy/Gift Certificates

• Prescription medications are non-returnable, and their sales are final.
• Any non-prescription items that are returned will be credited to the client’s account if returned within 14 days of purchase.
• All discounts and promotions are only honored if services and products are paid in full.
• All gift certificates and referral cards must be presented at the time of check-out.

Safety Policy

Clients are responsible for the behavior of their pet(s). Please inform Doorstep Veterinary Care if your pet(s) has a history of aggression and/or severe anxiety.