Please fill out the section below regarding your three top concerns about your cat's behavior.
Permission To Treat
All fields marked with * are required and must be filled. CLIENT ACKNOWLEDGEMENTS
Behavior problems are treated with a combination of the following:
Your initial consultation includes:
The cost of the initial evaluation is based on the time required to analyze your pet’s behavior problem, describe the treatment plan, and generate written instructions. Fees cover the time invested by the doctor and are therefore not refundable after completion of the initial consultation, regardless of case outcome. Payment in full is required at the initial consultation.
Treatment for behavioral conditions is a long-term process. While you may see some immediate improvements after initiating treatment, many problem behaviors take several months to improve. Every animal is an individual and can respond differently to behavioral management and medications. Some behavioral treatment plans will require adjustments depending on your pet’s response to treatment. While I have a high level of success in treating behavior cases, I am unable to guarantee resolution of every problem. Successful outcomes rely heavily on your commitment and ability to comply with the suggested treatment plan.
By completing these forms and signing this consent form, you give permission for me to evaluate, assess, formulate a treatment plan, and treat your dog or cat.
INFORMED CONSENT FOR THE USE OF MEDICATIONDr. Lewis may discuss and/or recommend the use of medication(s) as part of your pet’s comprehensive treatment plan. Many of the medications that are prescribed for the treatment of behavioral problems are not expressly approved by the FDA (Food and Drug Administration) for all or any animal species and their use is considered “extra-label.” This means that safety, effectiveness, and side-effects have not been comprehensively established for the purpose or species used. Side effects and adverse effects may include but are not limited to lethargy, digestive upset, and behavioral changes. Extra-label drug use is a legal and well-accepted practice for veterinarians to prescribe medications.
I, the undersigned, being the owner or duly authorized agent for the owner of the animal named below, understand that a prescribed drug may not be approved for use in dogs and/or cats for the condition being treated. I understand that the drug is being prescribed in the hopes that it will be beneficial for my pet. I understand it is possible that this drug may not alter the course of the behavior problem, and that my animal may continue with the behavior problem whether or not the medication is administered.
I understand that I should monitor my pet for adverse effects and that if any were to occur, I should contact Dr. Lewis or my referring veterinarian as soon as possible. I also understand that if there is an undesirable change in my pet’s behavior or the problem gets worse, the drug should be discontinued and I should contact Dr. Lewis or my referring veterinarian. No other drugs, herbal remedies, or supplements will be used at the same time as this medication except as discussed with Dr. Lewis.
I hereby give my informed consent to the administration of this drug to my animal. I accept full responsibility for all actions that may occur from the use of this drug.