Veterinary New Client Enrollment Form all

Fear Free Questions

As Fear Free Certified Professionals, we want to make your pet's veterinary experience as enjoyable and as stress-free as possible. If you have multiple pets with concerns please use the text boxes to explain each section for the pet.
Check any situations listed below that your pet has shown avoidance or dislike of in the past.

Being approached by veterinary staffGetting on a scale for a waitBeing put up on a table for examinationHaving direct eye contact with technician or veterinarianHaving a rectal temperature takenUse of instruments such as stethoscope or otoscope (look in ears)Other
Feel free to further explain any of the above concerns for any specific Petner.
What are the sensitive areas that your pets do not like to have touched by you or others?
Do your pet have any favorite treats or foods we can make sure to provide during our visit?
Do your pets have any food/treat allergies or things we should avoid during our visit?
Does your pet enjoy toys? If so what kinds?
Has your pet ever been prescribed any supplements or medications to help with a visit with he veterinary team? If so what was it and what results did you experience?
Anything else you would like us to know?

Client Policies and Procedures

We want you to be aware of and understand the following policies and procedures for all clients.
We Love Social Media! Do we have your permission to post pictures of your pet(s), you and your pet(s) and/or your pet(s) and our team on Facebook, Instagram, Twitter, www.petnershipvet.com and any other marketing and/or other social media outlets we may choose to use?*

YesNo
Petnership Veterinary Care uses email, text and our medical records systems for communications regarding our patient's reminders for health care needs. Do we have your permission to contact you via email, text and/or our app regarding these reminders?*

YesNo
FINANCIAL POLICY:

We accept Visa, Mastercard, Discover, and American Express, Venmo, Zelle. We also accept cash.

In addition, we also offer several 3rd party financing options for our clients via Scratchpay, and Care Credit.

We are happy to work with you submit any needed insurance claims.

Full payment is due at the time of service. This includes any charges/fees agreed to by my authorized proxy. Our team is happy to provide any client with a written treatment plan prior to services being rendered. Your signature below indicates your agreement with these policies.
TREATMENT CONSENT:

By signing this document, I declare I am over 18, the lawful owner of all listed pets, and all information is true and correct to the best of my knowledge. I hereby authorize the veterinarian(s) of Petnership Veterinary Care to examine, prescribe for or treat the my pet(s) to the best of their abilities. I assume responsibility for all charges incurred in the care of this animal. I acknowledge that medical information will not be released to anyone not indicated on this form without my express verbal and/or written permission with the except of another veterinary facility.
Signature (can be drawn with your mouse/track pad)*

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