Welcome Form

Welcome to Bee Creek Veterinary Hospital! We would like to thank you for giving us the opportunity to care for your pet. We will be more than happy to answer any questions you have about your pet’s health. To insure the best care for your pet, please take the time to fill out this form completely.

Thank you!!

Dr. Britton, Dr. Weems, and the Bee Creek Staff

Due to the unknown nature of COVID 19, we are continuing to work curbside for the forseeable future due to the limited ability to social distance appropriately inside the clinic. We will keep clients up-to-date on any changing hospital policies/protocols as they occur through our Facebook.

Curbside means that when you arrive at the clinic, you will park in an available parking spot and call us from your vehicle. A technician will get on the phone with you to go through the check-in process. The technician will then come outside to get your pet from your vehicle. Clients are not allowed inside the clinic, and the clinic door is locked during business hours.

Thank you so much for your patience during this unprecedented time!! We are doing what we feel is best to keep our doctors, staff, and clients safe and healthy.

Sincerely,

Dr. Britton

Please initial that you have read the above statement and understand our curbside policy.

Name

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Driver's License Number and State.

Spouse or Secondary Person on Account

Spouse or Secondary Person Phone Number

Area CodePhone Number

Pet's Name

Dog, Cat, or Other (please specify)

Birthdate if Known or Age

Female, Male, Spayed, or Neutered?

How would you like to receive reminders? You may choose more than one.

EmailTextMail

Reason for Visit Today

I give Bee Creek Veterinary Hospital staff permission to post pictures of my pet(s) on their Social Media pages. Yes or No.

What other pets do you have?

How did you hear about our hospital?

I, the undersigned, do hereby certify that I am the owner of the above mentioned animal or duly authorized agent for the above animal. I hereby authorize Bee Creek Veterinary Hospital, their agents or representatives to perform medical or surgical procedures, anesthesia, radiographic procedures, administration of drugs or other treatments which the veterinarian deems necessary. I understand that a staff member will inform me of the cost of any and all procedures, prior to performing if requested. I agree to accept responsibility for the full payment of all services rendered. I understand that full payment will be paid at the time of release and that a deposit may be required before any treatment or surgery. I hereby state that I have read this release and I understand this agreement.

Signature