Virginia Veterinary Disclosure Form

Virginia Veterinary Disclosure Form

Virginia Law requires that this form is signed by every pet owner
Date

MonthDayYear
Date
Owner Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Virginia Veterinary Disclosure Form
  Hilton Animal Hospital is continuously staffed by medical, kennel and business personnel during the following hours:

  Monday to   Friday:       7:00 am - 6:00 pm
                  Saturday:       7:00 am - 1:00 pm

Continuous staffing is not provided on Monday to Saturday 6:00pm to 7:00 am, from 1:00pm on Saturday to 7:30am on Monday, and on major holidays.

Medical and kennel staff are present on a non-continuous basis each day to provide for the proper care of your pet. Patients requiring continuous monitoring and medical treatment (i.e. intensive care) at times of non-continuous staffing by this facility can be transferred by the owner or their agent to the Emergency Veterinary Clinic where after hours staffing is provided. Any expenses incurred at the Emergency Veterinary Clinic will be the responsibility of the owner and will be payable to the Emergency Veterinary Clinic. At the time of transfer of the pet from Hilton Animal Hospital to the Emergency Veterinary Clinic all outstanding accounts are payable in full.

I have read the above statement and am aware of the staffing hours
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