Language
  • English (US)
  • Spanish (Latin America)
  • Premier VetCare Client Registration

  • Please complete the following information to create your client and pet profiles for our practice. This will need to be submitted to us prior to setting up your pet's appointment(s) that have been requested. Once we have received this information we will contact you to verify your pet's appointment date and time.

  • New Client Booking Fee

    Thank you for your interest in our practice and allowing us the opportunity to show you what Premier VetCare is about. Since 2004 we have striven to provide Affordable Quality care to the pets of our community. To keep our fees as reasonable as possible Exam Booking Fees are required for certain situations. We are a high-volume practice so, when clients do not show up for their appointments or cancel with less than 24 hours of notice, this creates large gaps in our day that cannot always be filled. This effects our other clients' abilities to be seen promptly as they are forced to make later appointments or have to be seen as an Urgent Care Visit. When they may have been able to fill an appointment spot that was expected to show but did not. To accommodate as many clients and their pets as possible, we have established policies to help reduce the most common no-show visits. No-Show or Short Notice Cancelations are almost predictable. Often a large percentage of our No-Show appointments are from New Clients to our practice. 

    To minimize the chances of a New Client not showing for their appointment time, we require a Non-Refundable Exam Booking Fee and a completed Registration Form to make the initial appointment. 

    The Booking Fee will be credited toward the services provided at the time of the appointment. If the appointment is cancelled at any time or you fail to show up for the appointment the Booking Fee is non-refundable.

  • Client Information

  •  - -
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Secondary Account User

    Secondary user must be over 18 years of age. We can only get authorization for treatments and release information on your pet's care to authorized users. We are unable to discuss your pets care with any one but those authorized on the account.

  • Emergency Contact 

    Emergency Contacts are used only if we are unable to contact the Primary and Secondary Users in the event of an emergency. By listing them you grant them the authority to act as your agent in the event we are unable to reach you or you secondary authorized user.

  • Pet Profile

    Please provide us with your pet's information to create their profile.
  •  - -
  •  - -
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Second Pet Profile

    Please provide us with your pet's information to create your their profile.
  •  - -
  •  - -
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Third Pet Profile

    Please provide us with your pet's information to create your their profile.
  •  - -
  •  - -
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Current or Past Veterinarian Information

    To facilitate your pet's ongoing medical needs and continuation of care, we would like to know what practice may have been providing care for your pet(s) in the past.  
  • May we request records from your Current or Past Veterinary Practice?

    If records are to be sent to our practice, please allow a minimum of 24-48 hours prior to your pets visit so that we can be sure to get those records before your appointment. Each veterinary hospital has their own policies in regards to how they process medical records requests. Some may require you to contact them to authorize the release of those records. Tennessee state law does require a written request from the owner of record prior to a practice releasing records to any other parties. To speed up your check in process, if we can facilitate request for records prior to your appointment time, that is preferred.

    Your response below will be copied to an email we send to request a copy of your pet's medical records if you provide that consent. We will provide them your name, email, and phone number(s) so that practice may use that information to verify your request for records. They may reach out to you to confirm the request.

    If you do not wish us to contact the practice on your behalf, please bring a copy of, at minimum, vaccination records to us at the time of your appointment or prior to it.

  • Client Consent and Practice Policies

    The Legal Stuff. 
  • Over the years we have needed to develop various practice policies to allow us to provide care to all out clients in a transparent, fair, and balanced manner.  Some of these policies have been developed to make sure our team, cleints, and the pets are provided a safe and enjoyable environment.  Many have hadve evolved in response to client feedback and are updated as events warrant it.   All of the policies are also rooted in making sure we comply with the seeming countless Local, State, and Federal laws and regulations regarding Veterinary Medicine. 

    We believe in transparency and that informing you of these policies is the best way to make sure your informed and not surprised so that we all can develop an appropriate Veterinary Client Patient Relationship. 

    We also keep these policies up to date and posted to our website for your review in the future if needed. 

  • Vaccine Policy and Requirements.

    To help prevent the spread of infectious diseases it is highly recommended, ALL animals presented for exam, treatments, testing, surgery, or other services are current on core vaccines for their species. We take all reasonable precautions to limit contamination of our facility of infectious diseases with cleaning and disinfecting procedures. However, we can not fully prevent the small possibility of contamination of infectious diseases in our facility or on grounds.  We will not be responsible for pets that have been left unprotected by lapses in their vaccine protection.

    DUE TO LOCAL AND  STATE LAW, INSURANCE REQUIREMENTS, THE SAETY OF OUR OTHER CLIENTS AND STAFF, ALL DOGS & CATS MUST BE CURRENT ON A RABIES VACCINATION. THERE ARE NO EXCEPTIONS TO THIS POLICY. 

    Rutherford County Law Requires all pets to have a Rabies Vaccination and proof of that vaccing by written certificate and / or rabies tag.  One year and three year vaccines are acceptable. Pets that have a Three year vaccine are still required to obtain a current year rabies tag and renew their registration every year. 

    Rabies vaccination can be updated at the time of your appointment if it is not current or you have no current records of up to date vaccination for rabies. 

  • Consent to Exam and Care

    I understand that every effort will be made to achieve a successful outcome and to provide for all possible safety in hospital care and handling. I also understand with any medication, injection, vaccine, testing, surgical treatment or medical treatment there is always some risk of adverse unexected side effects or complications.  I understand the staff and docotors will do every thing possible to avoid side effects and complications of care, but they can not eliminate all risk of medical care and treatment. With that understanding I hereby authorize this hospital to receive, prescribe for, treat, and/or perform surgery upon the pet(s) listed on my account and additional pets I present in the future.

  • Payment Agreement Policy

    At Premier VetCare, we deeply value the trust you've placed in our clinic to care for your beloved pets. Like most veterinary clinics, we do not receive financial aid from charitable organizations or governmental sources. Our revenue is solely generated from the payments made by our clients for the products and services we provide. Your prompt payment is crucial for the upkeep of our well-equipped and well-stocked pet hospital, enabling us to maintain the high standard of care we strive for. To ensure we can continue offering quality care at affordable rates, we require adherence to the following financial policies:

    Payment Types Accepted:

    Acceptable forms of payment include: Cash, Visa, MasterCard, Discover, Debit Cards, Care Credit, and Scratch Pay.

    Checks are not accepted:

    Checks are no longer an accepted form of payment.

    Payment for Services:

    All services must be paid for at the time provided.  All professional service fees and prescriptions must be paid in full at the time the pet is dismissed or checked out from the hospital.

    Payment for Products and Medication:

    All prescription and over the counter (OTC) items must be paid at time of discharge or check out.  No prescriptions or OTC products may be dispensed or removed from the premises without full payment of product and services rendered.      

    Deposits:

    A minimum of 50% of the estimate or $150, whichever is greater, is required as a deposit at the time of admission for all treatments, surgery or hospitalizations.

    Emergency Cases:

    Emergencies require a minimum $250 deposit at the time of admission for intensive care therapy to be initiated.

    No Billing:

    Financial policy prevents the establishment of any charge accounts. We do not offer any billing services. 

    Interest on Account Balances:

    If, in the event a balance is left on any account, a monthly billing charge of $25 will be added to all billing accounts each month; including the first month to cover the costs of the billing procedure.  Interest of 1.9% per month (23% / year) or $10.00, which ever is greater, will also be charged to all accounts over 30 days past due. 

    No Services for accounts with unpaid balances:

    No additional services may be provided to any account with an outstanding balance.  If a balance exists on an account all prior fees must be paid before a new appointment or additional services, will be provided.  Medical records are the property of Premier Vetcare, we reserve the right to withhold release of medical records until all outstanding balances are paid in full.

    Collection Fees:

    You agree to pay for the reasonable costs of collection in the event that collection efforts become necessary. 

    Chargeback and Payments with Insufficient Funds:

    You understand that a service fee of $35.00 will be assessed for each non-sufficient funds payments or disputed electronic card payments, as well as any certified letter charges that must be sent in our efforts to collect outstanding balances.  
     

  • After Hours Care Policy

    You understand that veterinary service is provided afterhours as necessary in the judgment of the veterinarian in charge. Premier VetCare does not have staff in the facility 24 hours a day, the presence of qualified personnel may not be available. At any time you may elect for the transfer of your pet to an staffed overnight veterinary facility if you choose so. Depending on the needs of you pet we may not be able to provide care after hours and your pet's care may need to be transferred to an facility with after hour or 24 hour care.

  • Pet Abandonment Policy

    If I neglect to pick up my pet within 48 days of the discharge date and do not contact you or notify you within that time period, you may assume that the pet is abandoned and are hereby authorized to dispose of the pet as you deem best and/or necessary in accordance to Tennessee State Law.

  • Consent to Use Images & Limited Case Information.

    As a client of Premier VetCare and having consented to the practice to provide care for your pets, you also approve the use of images and limited non identifying information of your pet, their diagnostic images, and general information on the disease or treatment on our web sites, and/ or social media platforms for educational and marketing purposes.  No personal identifying information is ever shared on images used on web sites and /or social platforms without your expressed consent.

    You are also allowed to use and share any posted social media content of your pet's care we may share if you wish, to any of your personal Social Media accounts or Platforms.  

    You also agree to the use of non identifying images, and medical records by Veterinary Students that may be involved in the care of your pet for the purposes of them presenting that information in the scope of their educational requirements only. ( As a policy of Premier VetCare, Students are not allowed to share images or our confidential client information to any person or outside third party )

  • Photo ID Policy

    Here at Premier VetCare protection of your personal information and account is of up most importance to us. As we are often extending a temporary credit account by providing services prior to payment we need to follow some credit and information laws. Also in order to prescribe controlled medications for your pets we are required by law to report those medications to the State of Tennessee on a weekly basis. In order for us to be in compliance with a multitude of state, and federal laws that apply to veterinary medicine and businesses we require that a photo ID, and the state Drivers License is the one form that has all pertinent information we need, be on file with our practice. By having the photo ID on file we will not need to ask to review your ID at each visit. This would slow down our check in and check out processes. Without a Drivers License on file we will not have the information we need to verify your identity and for proper legal record keeping and reporting.

    For full details you can Click Here.

  • Prosecution of Theft of Service

    In the event services are rendered and not paid in full at the time, or satisfactory arrangement are not made and honored to resolve outstanding balances, we do reserve the right to prosecute to the fullest extent of the law for THEFT OF SERVICE. As described by state law T.C.A. § 39-14-104.

  • Spectrum of Care Policy

    At Premier VetCare we understand not all owners have the same means to afford care, but we cannot keep the business running by offering free or discounted services due to lack of payment. To keep our fees as low as possible for all clients it is imperative each client pays for the products and services provided to them. To meet the needs of most pets we practice what is known as Spectrum of Care, or Incremental Care. This can help reduce the initial cost of care when and if clients budgets require it.  It is imperative if you have budget concerns you inform us from the begging of any visit your pet has so we can help determine the best options for caring for your pet. 

    If you find yourself with financial concerns we are happy to provide an exam for your pet at our standard fees and provide you with a treatment plan with estimated cost prior to any services being performed. If you are unable to afford that standard level of care we will do our best to offer some treatment plan within your means. It may not be the best option, but it is often better than delaying care or not providing any care at all to a pet in need.

    Please, if you have any financial concerns or constraints be upfront with us and notify staff or veterinarian before treatments are performed. Not paying for product and/or services that are agreed to that are rendered is a criminal act. 

  • Agressive or Uncooperative Pets

    Unlike many practices we do accept aggressive or difficult to manage pets.  Some of our Doctors and staff have learned techniques to calm and safely handle aggressive or scared pets. Even then, there will be some pets we too just can not handle safely.  We reserve the right to decline care to any pet that may be deemed dangerous for our staff to handle or provide care for. 

    Not all pets can be handled safely with out oral medictions or injectable sedation. We can provide sedation for your pet if needed.  By sedating aggressive pets we can still provide the care they need, and reduce the stress and danger for you, your pet, and our staff.  Additional fees do apply for this service.

    If we have prescribed orall medacation for your pet to be given prior to any visit, and that medication has not been given, keep in mind we may not be able to see your pet at that time.  For the safety of our team and your pet please give any pre visit orall medications as directed.  If you at any time do not believe them to be helping inform us so that we can adjust the medications to improve thier effectiveness. 

    If your pet is identified as a biting risk you will be asked to not handle your pet during examinations or treatments.  This is for your safety.  In a strange environmental pets can be unpredictable.  We understand you and your pet may have a special bond and you may feel comfortable handling your own pet, but serous injury can occur if you pet accidentally bites you our others.

    If your pet is known to have bitten in the past, or you are concerned they may, please inform our staff when making the appointment and when checking in.  If your pet is aggressive to other pets we are glad to see them, but we ask that you keep them in your car or allow us to hold your pet in our kennel until a room is available for your pets appointment.  We ask that aggressive or excitable pets do not wait in our lobby.  We appreciate your understanding and cooperation in ensuring our Lobby and Hospital is a safe environment for all pets and people. 

  • Cleint Etiquette Policy

    Simply put BE KIND!

    We know veterinary visits can be stressful for most cleints.  There is a level of frustration and worry involved with nearly every visit, especially if your pet is surprisingly ill or injured. 

    We appreciate your patience and cooperation during your visits with us. Occasionally, our staff and other clients have been subjected to disrespectful and dangerous client behaviors, and we would like to define our expectations for you more clearly, as we all work together to provide the Premier Care your pets deserve.

    Premier VetCare has a Zero Tolerance for the following behaviors and will likely be grounds for terminating our professional relationship with you permanently:

    • Yelling
    • Screaming
    • Profanity
    • Name-calling
    • Demanding behaviors
    • Entitled behaviors
    • Disparaging comments (in person or online)
    • Threats of any kind
    • Acts of violence
    • Any an all inapproprite public behaviors
    • Submision of a false, inaccurate, or derogatory online comment or review. 

    There may be at times concerns or questions regarding your pets care.  There is never an appropriate time to display aggressive or toxic behaviors in our practice. 

    Our leadership team is always open to having polite calm conversations regarding your pets care.  Client feedback has allowed us to improve and to become one of the largest General Veterinary Practices in our market.  Most often disagreements are rooted in either a miscommunication or misunderstanding.  We will take all reasonable steps to minimize each of those situations.  We expect our clients to do the same. 

  • Electronic Signature

  • Powered by Jotform SignClear
  •  - -
  • Should be Empty: