• Patient Information Form

  • *FOR THE SAFETY OF OUR STAFF AND CLIENTS PLEASE ARRIVE WEARING A MASK AND MAINTAIN 6 FOOT DISTANCE AT ALL TIMES*

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  • There may be rare instances where the veterinarian requests that one client may enter the clinic (Euthanasia, medication administeration demonstration, severe behaviorally challenging consultations, etc.). During those rare instances we will require that the client that comes will be required to wear a mask that covers both their nose and mouth, sanitize their hands (provided at entry), and maintain a 6 foot distance from the staff at all times.

    PLEASE NOTE - WE CANNOT PROVIDE ANY MASKS DUE TO THE PPE SHORTAGE SO PLEASE COME PREPARED WITH YOUR OWN MASK. IF YOU DO NOT HAVE A MASK YOU WILL NOT BE PERMITTED IN THE CLINIC AND MAY BE ASKED TO RESCHEDULE YOUR APPOINTMENT.

    We sincerely appreciate your cooperation.

  • We would like to take your pets picture.

    would you be willing to allow us to use your pets pictures. Please sign the release below and you could see your pet on our website or social media page.
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    Do you give permission to Midvalley Animal Clinic to use any photographs taken of your pet, in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that these materials will become property of Midvalley Animal Clinic and will not be returned. I hereby authorize Midvalley Animal Clinic to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing thier programs or for any other lawful purpose. 

    In signing this consent, I give authorization to use my pet’s name and information as printed below.

     

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