I {name} acknowledge the following: My veterinarian has offered me the option of a virtual visit appointment. This appointment may take the form of a video via our secure Pet Desk platform, and will result in my veterinarian making a clinical assessment of my pet from a different location to myself. This requires direct availability with my pet because my veterinarian may direct me to assist with various views of my pet on camera. If my pet is not present during the virtual visit appointment, I understand that the fee is nonrefundable. I release Animal Health Clinic and its representatives from any harm or injury as a result of this virtual visit appointment. I am undertaking this appointment with the understanding that there are limitations to what my veterinarian can deduce about my animal’s condition without a physical examination and/or other detailed investigations best done in the clinic. To minimize the risks of errors of clinical judgement my veterinarian may recommend that my pet attend the clinic and/or undergo further diagnostic tests. This will then be up to me to decide if I proceed. I understand that it is my responsibility to contact my veterinarian and/or attend the clinic (or contact the nearest emergency hospital at 701-478-9299) if my pet’s condition persists or deteriorates unexpectedly.
I understand that payment for my appointment will be due upon booking and is nonrefundable if not given at least (1) business day notice to cancel or reschedule. Any medications recommended, agreed to and/or delivered to me will be paid on full with my credit card at the end of this appointment. I understand that the cost of my virtual appointment does NOT include payment for other services, examples of which include but are not limited to such things as drugs, medications, tests, surgery, procedures, diagnostics, referrals to specialists, hospital care, etc. If other services are recommended by my veterinarian I understand that they will provide me with a written treatment plan listing these things and their costs.
I also acknowledge that I will be appropriately clothed during my virtual appointment.
This consent form is valid for the life of my pet, unless I provide written notice to void the agreement.