Policies, Disclaimer, & Consent Forms

I (type first & last name) blanks* agree I will review all IVS policies below prior to agreement:

POLICIES:

1. SCHEDULING: IVS is not a full service practice! We are a part-time, limited availability service that only currently offers scheduled appointments to address and treat any illness and/or health concerns. You must email:staff@integrativepets.com in order to schedule an appointment and become a regular patient. Dr. Keillor DOES NOT do any scheduling or payments! All scheduling and payment info/questions must go thru email! IVS will respond as soon as possible, but it is possible you may not get a response for 24-72 hours. 
 
2. WELLNESS CLINICS: We do offer a walk-in monthly Wellness Clinic for canines to have vaccines, heartworm testing, titer testing, and other basic wellness services provided. We are legally unable to address any health/medical concerns outside of what we offer at the clinic due to the limited exams being offered. Please contact us at staff@integrativepets.com in order to schedule an appointment for a full exam and consult to address additional health needs.
 
2. DEPOSITS: Deposits will be required for all appointments, and are refundable only if required notice is given to cancel and/or re-schedule. We honor and respect the time you are paying for our expertise, education, and services. As our availability is so limited, we rely on you to be prepared and on time for your scheduled appointment so we can ensure we are not rushed to address your concerns. Should you arrive late for a scheduled appointment, it is most likely you will be asked to re-schedule, and your deposit will be forfeit. It is not fair to you, your pet(s), or us to try and rush through an appointment and possibly overlook or miss key factors pertaining to their treatment. 
 
3. VIRTUAL/PHONE/TEXT APPOINTMENTS-CONVERSATIONS: These appointments are available on a limited case-by-case basis and MUST BE SCHEDULED. Your pet MUST have a current in-person physical exam on file in order to request this type of appointment. DR. KEILLOR CAN NOT LEGALLY GIVE ANY TYPE OF MEDICAL ADVICE FOR A PATIENT SHE DOES NOT HAVE A CURRENT EXAM ON NOR HAS NEVER EXAMINED! Fees will be charged accordingly regardless to type of appointment the Dr. has provided. For all virtual/phone/text scheduled appointments, pre-payment for the consultation will be required. For all phone and/or text questions sent without scheduling or by direct request by us first, an additional $50.00-$100.00 Emergency Fee will be added to your invoice. Just as in-person appointments, please email: staff@integrativepets to schedule.
 
4. PAYMENTS: Payment is required in full at times of services. We accept all forms of credit/debit cards. Cash will only be accepted if no change is required as IVS does not keep cash/change on hand.  
 
5. SERVICES: IVS is unable to provide x-rays, dental cleanings, urgent, emergency, and/or surgical services. We always recommend consulting your full-service veterinarian for if/when these services are require

I, (type first & last name) blanks* agree to review IVS disclaimer policy.

DISCLAIMER:

IVS is an integrative practice that utilizes a full spectrum of conventional and complementary modalities to treat each patient. We believe in informed consent and education. In order to best treat your pet(s), please review the following to ensure we are a "good fit" with you and your family's expectations.  

 

1. A number of open published trials of the medical interventions have been conducted showing evidence of efficacy. However, no double-blind crossover trials which represent the standard as far as the medical profession is concerned currently exist for some of our recommended treatments. Although some are unproven in terms of efficacy, these interventions and treatments present minimal risk of harm and are based on scientific research and logic.
 
2. These interventions form a part of the overall individualized plan for an individual patient. it is not a substitute for appropriate education, care, and health management. It entails a lot of patience, determination, reliability, and resiliency from all - the physician, the patient, and the whole family. We depend and rely on you to keep us informed on your pet's progress!
 
3. Although ultimately benefiting from these therapies, many patients may show transient regression (i.e. die-off reaction from anti-fungal meds, yeast, bacteria, etc.) during these treatments. It is not uncommon to see waves of improvement followed by waves of regression especially within the first 3-12 months (typically dependent on severity and length of illness) of treatment. However, there are methods employed to minimize and manage these reactions if/when they arise.
 
4. At present, it is difficult to determine which patients will benefit from these therapies with great accuracy. Some patients who may be perfect candidates may not have any improvement; while others who seem to have little reason to recommend therapy will show marked improvement. In general, the only way to determine this is to attempt treatment and observe the response.
 
5. Since medicine is a combination of art and science, and each patient's situation includes variables that are unique and at times not fully understood, there is no guarantee that satisfactory results will be achieved.

CONSENT:

 

Please read and sign below to confirm consent for treatment for your pet(s):
I knowingly and willingly give my consent on behalf of myself and my pet(s) for treatment. I have had ample opportunity to discuss the nature, the risks and benefits, anticipated costs, and the reasoning for the treatments. I understand that medical treatment is a constantly evolving art and that the treatment results are not guaranteed or may result in expected and/or unexpected adverse events. While my veterinarian and staff will take all reasonable precautions to ensure me and my pet's safety, I am willing to assume the risks of treatment whether known or unknown. I am seeking treatment in order to further my pet's health and for no other reason. I am aware that IVS retains the right to refuse/discontinue services and treatments at any time based on their discretion.

Acknowledging the above, the fact that there is a sense of urgency in initiating these interventions, and weighing the risks versus the significant potential benefits, I (type your first & last name) ,* give consent to Dr. Genevieve Keillor and her staff to administer recommended biomedical interventions to my pet(s). I will not hold responsible Dr. Genevieve Keillor, Integrative Veterinary Services, any of the practice's staff, or any other person associated with the medical intervention, for any form of injury, physical, behavioral, and/or emotional problems/distress experienced by my pet(s) or myself. I agree to keep IVS up to date on how my pet is doing during treatments including no improvements seen, what improvements are being seen, any side effects noticed, as well as how I am feeling about my pet's health.

By signing below, I am acknowledging I have read and understood the Disclaimer and Informed Consent above, have understood the potential risks and benefits, and agree for my pet(s) to receive treatments, following the standards and principles of conventional, complementary, alternative, holistic, and/or integrative medicine.