• New Client & Pet Account Set Up

    Please submit this form and a member of our Care Team will contact you to finalize your appointment booking. Thank you for taking the time to review our policies and input information for your pet's medical record.

  • Para completar este forma en español, haga clic aquí: https://form.jotform.com/260885155449165

  • Thank you for taking the time to fill out this information before your visit! 

  • Today's Date:*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Reason for visit:*

  • Have you been here with another pet?*

  • How did you hear about us?*

  • This form should take 5-8 minutes to read & fill out. Page 1/4

  • Special Policies for Respiratory Infections

  • To protect the health of our clients and staff, and minimize risk of disease exposure or transmission from infectious diseases, Veterinary Wellness Center has enacted the following policies. 

    1. We are continuing our rigorous disinfection of all contact surfaces throughout the clinic with disinfectants that have efficacy against the Coronavirus that causes COVID-19.
    2. Masks are optional.  
    3. If you are feeling ill, have a fever above 100*F, or have been diagnosed with a contagious respiratory disease (including COVID-19 or the flu) within the past 5 days, please contact us to reschedule your appointment. You can also have someone else bring your pet to the clinic.

    We thank you for your patience and assistance in keeping everyone as healthy as possible. 

  • Do you or any members of your household have symptoms of respiratory disease, or a fever over 100*F?*

  • Do you or any members of your household have symptoms of respiratory disease, a fever over 100*F, or a positive COVID or Flu test within the past 5 days?*

  • Do you or any members of your household have exposure to COVID-19, or a positive COVID-19 test result within the past 10 days?*

  • Do you or any members of your household have exposure to the flu, or a positive flu test result within the past 10 days?*

  • I understand that due to curbside protocols only one adult will be allowed into the building with my pet.*

  • By continuing and submitting this form, you are agreeing to comply with Veterinary Wellness Center's infectious respiratory disease protocols.

  • Page 2/4

  • Clinic Policies

  • As of 05/23/2024 Veterinary Wellness Center no longer requires deposits to book appointments. If you miss an appointment without a 48 hour notice, a booking fee will be required for all subsequent appointments.  


  • Late Arrivals, Cancellations and Missed Appointments

    We want each of our patients to be able to get into the clinic quickly when needed, with minimal wait times. 


    Need to cancel or change your appointment?
    Let us know at least 48 hours ahead of time and there's no fee or scheduling restriction. We'll help you find a time that works better for you.


    Running more than 10 minutes late?
    We'll need to reschedule your visit. That 10-minute mark isn't about the length of your appointment, it's the window our doctors need to get your pet's medical care started. If the visit starts late, every appointment after it runs late too, delaying care for other pets.


    How we track this
    Cancellations made less than 48 hours before the appointment, no-shows, and arrivals more than 10 minutes after the start of the appointment time all count the same way toward your account. We're not trying to penalize you for one hard day. We are asking for respect for our time and the time of the other pets and families who come in. If we notice an ongoing pattern of schedule disruption, here's what we do.


    What happens as it adds up:

    • First and second time: No fee. We'll let you know that additional cancellations or no-shows may require you to pay a fee going forward.
    • Third and fourth time: A $65 non-refundable booking fee, the same price as a standard exam, is required to hold your reserved appointment. This fee applies to your pet's appointment charges if you come in as scheduled. If you reach this point, we'll always let you know before scheduling the appointment.
    • Fifth time: We're no longer able to reserve appointments for you in advance. You can call to check on same-day availability, based on what's open.

    We know plans change and that pets (or the weather, or traffic) don't always cooperate. That's exactly why we're flexible the first two times. When something does come up, please tell us as soon as possible so we can help another pet who's waiting for care.
    This policy applies to standard appointments. Surgeries have a separate deposit policy, explained at the time you schedule.

  • I have read and agree to the policies for late arrival, cancellations and missed appointments.*

  •  Low Stress Handling

      Wellness is our primary core value at Veterinary Wellness Center. This includes both physical and mental wellness for our patients. We recognize that fear, anxiety, and stress can have significant negative impacts on a pet’s health and wellness, and these negative effects can worsen over time.    

      Our staff undergoes additional training in low-stress handling techniques and pet body language that allows us to identify signs of fear, anxiety, and stress earlier and change the treatment approach for more positive outcomes. Pet parents are an important part of this process to decrease anxiety and stress for pets; please visit FearFreeHappyHomes.com for more information.

      If at any time the doctor determines that your pet cannot be examined in a low stress manner that is safe for both your pet and our staff, we will develop a plan to help your pet relax or sleep during any necessary examination and treatments. This plan may include pre-visit anti-anxiety medication, sedation, training, and/or rescheduling the appointment. The consultation charge applies whether or not a full physical exam is completed, but rescheduling fees will not apply in this situation.

      Due to the serious consequences of untreated fear, anxiety, and stress in our patients, it is clinic policy that all pets with prescribed pre-visit anti-anxiety medication must receive these medications as recommended for each visit. We will work with you to adjust any recommended medication doses to find the right balance for your pet. If you choose not to give the medication, you will be required to reschedule. Rescheduling or cancellation fees will apply if notice is not given at least 24 hours before the scheduled appointment time. If pre-visit anti-anxiety medications and other anxiety management treatments are declined, we are not willing to cause psychological damage to your pet and will provide you with your pet’s medical records to seek care elsewhere.

  • I have read and agree to the policy on low stress handling.*

  • Informed Consent

    I certify that I am 18 years of age or older and that I am legally able to seek care for this pet. I hereby authorize the Veterinarians and Staff of Veterinary Wellness Center (VWC) to examine my pet and provide medical care. I assume full financial responsibility for all authorized charges. I also authorize VWC to obtain any previous medical records from other veterinarians as necessary to provide effective medical care.

    I have also been made aware of, and agree to, the following VWC policies:

    • All payments are due in full at the time services are rendered. We accept Cash, Check with ID, Credit Cards, Sunbit with ID, and CareCredit with ID.
    • We accept all pet insurance carriers on a reimbursement basis. That means you pay in full at the time of service, and we give you an itemized invoice to submit to your insurance company yourself. Your insurance company reimburses you directly for covered services. Coverage depends on your plan, so check with your insurance company about what they reimburse.
    • For their safety, all pets are required to be on a leash or in a carrier at all times.
    • All pets will, at all times, be treated with the care and compassion we would treat our own family members.
    • Photos of pets may be taken while in the practice, and may occasionally be used for educational purposes or posted on social media. No images or information will be used that would identify you personally without your permission.
    • All pets are scanned for a microchip during their visit. If a microchip is found, reasonable effort will be made to contact the microchip registrant. 
    • An examination with our veterinarians is required at least once every 12 months to maintain a current Veterinary-Client-Patient-Relationship and be eligible for prescription medications. 
    • If your pet is coming in for health concerns, preventative care may be delayed untill health concerns are fully addressed and treated by the care team.

    By signing below and continuing with this form, I have read and agree to the stated VWC policies.

  • Signature

  • By signing and continuing with this form, you are agreeing to comply with Veterinary Wellness Center's stated policies.

  • Page 3/4

  • Client Information

  •  -
  • Is this a mobile number that can receive texts?*
  • Would you like to receive text message updates on your pets?*
  • Are there any other phone numbers where you can be reached?*
  •  -
  •  -
  •  -

  • Patient Information

  • Species:*
  • Birth date if known
     - -
    2 digit month, 2 digit day, 4 digit year
  • Sex:*
  • Is this pet covered by Pet Insurance?*
  • We'd love to see a picture of your pet!
  • Are there any other pets in your household?*

  • Poop and urine samples may be recommended for your pet's appointment. 

    • Collect same day of appointment 
    • Store in airtight container
    • Refridgerate if collected more than one hour before appointment

    Questions about samples may be answered at the time of booking your pet's appointment.

  • Illness History

  • Since you noticed it, is the problem getting:*
  • Has this problem happened before?*

  • General Medical History

  • Has your pet experienced any other changes? (Select all that apply)*

  • Please describe changes in appetite.*

  • Please describe changes in weight.*

  • Please describe changes in water consumption.*

  • Please describe changes in your cat's urination.*

  • Please describe changes in your dog's urination.

  • Please describe changes in your cat's bowel movements.

  • Please describe changes in your dog's bowel movements.

  • Please describe changes in your cat's activity level.

  • Please describe changes in your dog's activity level.

  • Please describe changes in vision or hearing.

  • Please describe changes in your cat's behavior.

  • Please describe changes in your dog's behavior.

  • Please describe coughing or sneezing.

  • Please describe itching (including licking, scratching, chewing, overgrooming) or hair loss.

  • Which statement best represents the ease of administrating medications to your pet?*
  • Do you ever feel your pet is aggressive?*

  • Prior to your appointment, please send us any medical history from other clinics. If records of vaccinations or diagnostics are not available, it may be necessary to repeat them.

    Providing records in advance of your visit can significantly speed up check in and your visit. Records can be attached below, emailed to vwc@vetwelltx.com, faxed to (956) 386-9435, or dropped off in person.

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  • Vaccine and Prevention History

  • Has your dog received vaccines? (Select all that apply)

  • Has your cat received vaccines? (Select all that apply)

  • Does your dog receive prevention for heartworms and intestinal parasites?

  • Does your pet receive prevention for heartworms and intestinal parasites?

  • Does your cat receive prevention for heartworms and intestinal parasites?

  • Does your pet receive prevention for fleas and ticks?

  • Does your dog receive prevention for fleas and ticks?

  • Does your cat receive prevention for fleas and ticks?

  • How often does your cat go outside?

  • Do you think your pet has any food allergies or intolerances?*

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