I hereby authorize the Point Breeze Veterinary Clinic to examine and treat my pet using herbal medicine. I understand that this treatment is an alternative therapy and is not a "conventional" treatment.
Historical evidence and modern research indicate that the most commonly used herbs have an exceptional safety record. Confirmed cases of herb and drug interactions are rare. However, adverse events are possible. I understand that it is the pet owner's responsibility to fully disclose any medications currently in use, in addition to any herbal or nutritional supplements.
My signature below indicates that I have read this document in full and answered all questions truthfully and to the best of my ability. I hereby voluntarily consent to my pet receiving an herbal consultation and understand that I am free to discontinue this service at any time. I understand that the herbalist is not a doctor, but will consult on cases with veterinarians on staff as needed.