• Co-Owner Registration Form

    Thank you for giving us the opportunity to care for your pet. We will be happy to answer any questions that you may have about your pet's health and it's care. Please make sure that you have all co-owners registerded with us. Please note that we will not allow anyone else to make medical or finanial desisions for your pet unless they are a registed owner or co-owner.
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  • For Security and Identification please fill out the information of the PRIMARY Owner for your pet(s), who is already registered in our system.

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  • Co-Owner Information

    Please fill out the following information so that we can communicate with you. Our reminder system, appointment & prescription request portal, as well as your ability to access your pet's records online all depend on us having your correct contact information. Please know that we will never share your information with anyone outside the veterinary care field.
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  • Emergency Contacts (Optional)

    Please list two people that we can call in an emergency, regarding your pet, in case we cannot get in touch with you.
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  • Virginia Veterinary Disclosure Form

    Virginia State Law mandates that this form is provided to all Pet Owners
  • 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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  •  Please read and sign below to submit

    Hilton Animal Hospital 

    Client Agreement 

    Treatment and Care
    I, the undersigned, am authorizing the staff of Hilton Animal Hospital to administer treatment, perform diagnostic and prophylactic procedures, and care for my pet(s).  I consent to the administration of medications, including analgesics sedatives, tranquilizers, and anesthetics as may be deemed necessary by the attending veterinarian.

     Preventive Healthcare Requirements
    I understand that in an effort to prevent the spread of infectious diseases and parasites, hospitalized and boarded animals must be current on all vaccinations and free of internal and external parasites. Official medical records have to be on-file to confirm the medical status of my pet.  All animals will be treated for fleas at the expense of the owner.  A fecal analysis will be performed on all animals that are not on a regular deworming program, or which have diarrhea during their hospitalization.  I hereby authorize the veterinarian to provide vaccines and parasite control and administer preventive measures as needed for my pet if it spends the night in the hospital. All costs incurred will be the responsibility of the undersigned.

     Warranties and Liability
    I acknowledge that no assurance, guarantee, or warranty will been made as to the results of treatments, procedures, or surgery. I am aware that every surgical procedure, treatment, and anesthesia, even performed on a healthy animal, carries a certain amount of risk and probabilities of complications. I understand that the staff of Hilton Animal Hospital will make every reasonable attempt to safely and proficiently care for my pet. Hilton Animal Hospital or its staff will not be held responsible in any manner whatever or any circumstance, on account of the care, treatment, or safe keeping of my pet, or otherwise in connection therewith.

     In Case of Emergency
     I understand that conditions not known may make it advisable that additional treatments, procedures, or surgery be performed on my pet. I understand that every reasonable effort will be made to contact me before such procedures are performed. However, until I can be contacted I direct the staff of Hilton Animal Hospital to perform any reasonable procedure to treat my pet, as may be deemed necessary by the attending veterinarian. I will bare full financial responsibility for any costs incurred.

     Abandoned Pets
    Pets that remain in the hospital for 5 days past the discharge date, without notification by, communication with, or pre-arrangement by the owner will be considered abandoned. I hereby acknowledge that I realize that pets, which are considered abandoned, will be disposed of as deemed necessary by Hilton Animal Hospital and I will be responsible for all fees incurred. 

     Financial Statement
    I am responsible for all costs incurred for the treatment and care of my pet. Payment in full is due when services are rendered. A late fee of 12.5% or $25.00, if greater, will be assessed for payments received after the due date.  Failure to pay in full within 14 days of services shall be a default, and my account will be turned over collections.  I agree I am responsible for all costs, including reasonable attorney’s fees of at least 33% of my unpaid balance, and any other amount incurred by Hilton Animal Hospital in collecting my account. A fee of $37.50 shall be assessed for returned checks. I agree to the jurisdiction and venue of the courts of the City of Newport News.

     I have read and acknowledge the above statements 

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