Welcome to Animal Medical of Chesapeake

Thank you for giving us the opportunity to care for your pets. We strive to provide the highest quality healthcare available with compassion and convenience.

I hereby authorize the veterinarian to examine, prescribe for and treat the above described pet(s All payments are required at the time of service. I assume responsibility for all charges incurred in the care of this/these animals. I understand that appropriate forms of payment include:

Cash, Check, Visa, Discover, MasterCard, Debit Cards and Care Credit.

I have been advised and understand that "continuous care"/hospitalization as defined by the state legislatre (i.e.: the 24-hours presence of a veterinarianI is not available after normal office hours. "Continuous care" is available after hours at the emergency clinics. Any animal left in the clinic after normal office hours will be left unattended.

Due to the outbreak of the Coronavirus (COVID-19), Animal Medical is doing everything we can to protect you, our clients, our community, and our team. To this extent, we will be following the Center of Disease Control (CDC) guidance regarding social distancing practices and sanitation. While visiting, we also ask that our clients assist us with good sanitation and social distancing protocols.

We ask you to take a few moments to answer some questions regarding COVID-19 exposure.

(Our team also answers each of these questions at the beginning of their shift.)

If you have experienced any of these symptoms above or have answered yes to more than two of these questions, we ask that a family member or friend outside the household bring your pet to their appointment or reschedule 14 days after your exposure.

We are still learning about this virus, but it appears that it can spread from people to animals in some situations. Currently, the evidence of animals spreading COVID-19 to people is low; animals often appear to be a “dead-end host” which means even if the pet is positive, it cannot spread to people.

To minimize exposure of COVID-19, we are operating with curbside services. We ask that you stay in your car and call us upon arrival. We understand that exams can be lengthy, and you may want to leave. If you would like to leave anytime during the exam, please inform the client care coordinators so they can provide you with the admission paperwork.

If you leave the parking area without notifying the staff of Animal Medical Clinic, an admission fee of $15 -$30 dollars will apply.

By signing this document, I have acknowledged that I have read and understand the information provided in this COVID-19 questionnaire form.