Pre-Appointment Questionnaire Logo

  • Pre-Appointment Questionnaire

    Please complete the following form prior to your appointment to help us keep our information up-to-date and continue our high quality of service.

  • Patient Information

    We appreciate you continuing to choose Brook Farm for your pet's care. If there's anything we can do to help make your pet's visit more comfortable, please feel free to let us know.
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  • Fear Free Handling

    We want to make your pet’s experience as enjoyable and stress-free as possible. As a fear free hospital, we like to take a gentle and considerate approach. Regardless of how much we want our pets to have a pleasant, stress free visit to the vet, many of them feel uncomfortable levels of anxiety. There are medications either prior to your visit or while you're here that can mitigate stress. Please feel free to ask the technician about how we can help make today's visit fear free.

  • Wellness Visit

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  • Insurance can be great when an accident or injury arises because you will be less impacted by any financial burden. It's best to be proactive than reactive in these situations. We recommend Trupanion, which is just one of the many companies with which we've worked and seen great success. 

  • Sick Visit

  • Medical Progress Exam

  • Life at Home

  • Hospitalization

  • The doctor will give your pet a head-to-tail exam and evaluate their heart, lungs, and all of their major body systems. We'll check their vital signs and review any concerns that you might have about their health.

    Your pet will be monitored throughout the day. The doctor may choose to perform some treatments earlier than others, which is why it's important that we keep your pet until later in the afternoon. The doctor will contact you when they have an update to share, but you are welcome to call and check in at any time. Your family are the most important members of your pet’s healthcare team, so please feel free to ask any questions.

  • Anesthesia

  • Our medical team is going to take every precaution to keep your pet safe and comfortable. We'll run bloodwork to make sure they can properly process and eliminate anesthesia. If the doctor has any concerns about the bloodwork results, they'll reach out to you prior to the procedure. Otherwise, no news is good news.

    After you leave the office, your pet will be brought to the treatment area and begin to receive care from the doctor and technician. Our medical team is going to continuously monitor your pet and pay close attention to their vital signs during and after their procedure. Your pet will be completely asleep and have no sensation of pain once they're anesthetized. They will also have a catheter placed and will be receiving fluids to keep them hydrated.

    As the anesthesia wears off, your pet will be taken to our recovery area and will be assigned an Animal Care Assistant. Your pet might notice that noises sound louder than usual and feel drowsy as they wake up. Your pet is going to stay with us until their scheduled discharge time so that we can continue to monitor their recovery. They'll be offered small amounts of food and water when they're awake, but their appetite might not return in full until they start to recover.

  • Wrapping Up

  • Treatment Plans

    Your pet's comprehensive nose-to-tail visit  will allow us to customize a medical plan based on your pet's needs and answer any questions. We always want to be straightforward and transparent when it comes to the cost of your pet's care, so please feel free to request a treatment plan if the doctor recommends any additional treatments or diagnostics.

    Wait Time

    We do everything we can to ensure that your pet gets seen on time. There are some factors outside of our control - such as late arrivals, complex cases, and pets with behavioral or anxiety issues - that can impact your wait time. We appreciate your patience and will keep you informed by text message when you are next in line to be seen.

    Confirmation

    The doctor/technician may ask some of these questions again to confirm the information you gave us and to make sure that we have all of the details correct. We will pass this information along to the medical team before your pet's visit. 

  • Account Agreement

    I, the undersigned, hereby confirm that I am the legal owner/agent of the animal described above and I am authorizing Brook Farm to care for my pets. I acknowledge that no assurance or guarantee has been made for the results of treatments, procedures, or surgery. I am aware that every procedure and/or treatment, even when performed on a healthy animal, carries a certain amount of risk and possibility of complication, up to and including death. I understand the staff of Brook Farm Veterinary Center will make every reasonable attempt to safely and proficiently care for my pet. I am fully prepared to accept the risk to my pet from the procedures that I direct the doctor and staff of Brook Farm Veterinary Center to perform. Brook Farm Veterinary Center or its staff will not be held responsible in any manner or for any circumstances resulting from the care, treatment, or safe keeping of the animal described above or otherwise connected therewith, up to and including in the event of an adverse reaction or death. IN THE EVENT OF AN EMERGENCY, I AUTHORIZE THE DOCTOR(S) AND STAFF OF BROOK FARM TO PERFORM RESUSCITATIVE SERVICES AND PROVIDE THE NECESSARY EMERGENCY CARE TO MY PET. I AGREE TO ASSUME ALL FINANCIAL RESPONSIBILITY FOR THESE PROCEDURES AND UNDERSTAND THAT OUTCOMES ARE NOT GUARANTEED IN ANY WAY. I also acknowledge that I am financially responsible for all services rendered and treatments performed. I understand that payment is due at the time that service is rendered and that I am responsible for all penalty, collection, and/or interest charges on past due accounts. I acknowledge that Brook Farm assesses interest monthly at a rate of 1.5%. Penalty and collection fees may apply, up to 20% of the total balance due or $45, whichever is higher (not to exceed maximum amount allowed by law.) Returned checks are subject to a $25 charge per check returned. I acknowledge that I am 18 years of age or older and am signing this form out of my own free will. By providing my email address, I give Brook Farm permission to use it to communicate with me about my pet's health, including news, promotions, and other information that they feel may be beneficial for me to receive. I give permission to Brook Farm Veterinary Center to use my and my pet's photographs and videos for use online, on social media, and in print. I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of said image. I understand that all products and services are non-cancellable and non-refundable. By registering and providing your phone number, you give Brook Farm permission to text you with important updates or details.
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