Agreement
Effective July 1, 1991, the Commonwealth of Virginia passed a law that requires all non-24 hour animal care facilities to disclose the hours that medical staff is not on duty. The law applies to any situation where there is a possibility that your pet may stay in the hospital overnight for any period of time. The law also REQUIRES that we maintain a sign where indicated.
Thank you.
NO medical staff is on duty from 7:00pm Monday to 7:00am Tuesday, 7:00pm Tuesday to 7:00am Wednesday, 7:00pm Wednesday to 7:00am Thursday, 7:00pm Thursday to 7:00 am Friday, 6:00pm Friday to 8:00am Saturday, and 1:00 pm Saturday to 9:00 am Monday. NO medical staff is on duty on Holidays. I understand there is an emergency clinic open during those hours when the Hospital is closed and that, if needed, I will make the necessary arrangements to have my pet transferred.
To the best of my knowledge, the information provided to this office is complete and accurate. I acknowledge that ALL charges incurred in this office are my responsibility. I agree to be responsible and to pay for all services performed
by this office. I understand that if my account remains unpaid by me for a period of 30 days, it may be referred to
an attorney for collection, and that I further agree to be responsible and pay for all costs incurred, including 35% attorney’s fees (minimum of $75.00) and interest at 1.5% per month (18% per annum).
I have read this form in its entirety and I am aware of the staffing hours, listed above.