I hereby authorize the following:
For Veterinary Services:
Office Visit Fee: $50(dogs and cats) scheduled, $70 (exotic pets) scheduled, $90 unscheduled visits.
I am the owner of the above Pet, or am acting as an agent for the owner, and accept full financial responsibility for any charges incurred during today's visit. 1 hereby authorize the veterinarian to examine, prescribe for, or treat the above listed pets. I am aware that other personnel may be required in order to assist the veterinarian. Emergency cases shall always receive top priority, which is why occasional appointment delay is inevitable.
For your protection, and that of others, we do not allow clients to assist in the restraint of pets, any owner that attempts to restrain or handle their pet during a procedure will be doing so at their own risk. All dogs must be on a leash and properly controlled while in the waiting area or exam rooms. All cats must be presented in an appropriate cat carrier or on a leash. If you feel your pet is suffering from or may have been exposed to a potentially contagious disease please notify a CVCC staff member at this time. I also authorize CVCC to use my pet’s photos for educational or media purposes.
For Veterinary Services, Grooming, or Boarding
We reserve the right to refuse to accept a pet at check-in for any reason, including without limitation due to illness or behavior. You acknowledge and agree that in the unlikely event your Pet becomes ill or injured, or if your Pet passes away during its stay, we will attempt to notify you at the telephone numbers you provided. If we cannot reach you, we at its sole discretion, may engage the services of our veterinarian and/or administer medicine or give other necessary attention to your Pet, and you hereby authorize us to provide any such service at your additional expense. You also waive the right to refuse medical treatment to make the pet comfortable or stabilize the pet while under our care and any such service will be provided at your additional expense. If at any time your pet is found to have fleas or ticks, we will provide the appropriate flea or tick removal treatment, and you hereby authorize us to provide such service at your additional expense. Additional charges may be incurred when a pet is very difficult, exhibits risky behavior (biting, snapping, and intolerance to services in general) or has "soiling" behavior. These behaviors increase the amount of time that it takes to provide service for your pet. You acknowledge that we may contact appropriate authorities in the event your pet bites another pet or any person. You acknowledge that if your pet show signs of illness or are not eating or drinking during their visit with us you may be required to pick them up. If your pet is here for any service other than boarding and the pet is not picked up by close of business the pet will be boarded at the nightly rate until the next business day. For Boarding, check out time is by 11:00 am on the departure date or a full day charge will be added to your invoice and full day charge will begin on the day you leave your pet. B. for Grooming and Boarding Services: You represent that to the best of your knowledge, your pet has not been exposed to Rabies, Distemper, Giardia, Bordetella, Intestinal Parasites or parvovirus within 30 days prior to beginning their stay with us. You acknowledge that the Pet is healthy and we have confirmation from a licensed veterinarian that the Pet has received all vaccinations required, has been examined by a Veterinarian in the last 6 months and receives monthly flea and heartworm prevention. We will not be responsible for any accidental death of the pet(s) due to the nature of any pre-existing health condition. We also will not be held responsible for minor nicks resulting from the grooming of matted, neglected coats or for irritation caused by removing coat from pets possessing mild to severe skin allergy, nor will we be held responsible for stressful effects that grooming or boarding may have upon a pet. For Grooming;dematting and excessive undercoat removal will be charged at the rate of $20.00/per hour in addition to regular grooming charges. We, as ethical groomers, reserve the right to refuse to demat a pet UNLESS we deem that the pet can tolerate the amount of dematting and that it could be done humanely. YOU HEREBY RELEASE CVCC AND ITS AGENTS FROM ANY LIABILITY FOR SUCH INJURY OR ILLNESS. We will not be responsible for any accidental death of the pet(s) due to the nature of any pre-existing health condition while in our care. We also will not be held responsible for minor nicks resulting from the grooming of matted, neglected coats or for irritation caused by removing coat from pets possessing mild to severe skin allergy, nor will we be held responsible for stressful effects that grooming may have upon an elderly pet. C. We agree to provide the specific services ("Services") to your Pet for each visit as indicated on the estimate. We will exercise reasonable judgment in all circumstances as we provide the services. D. You agree to pay us for the Services we provide to your Pet during each visit at the rates set forth at the start of such visit (collectively the "Charges"). Prices are subject to change without notice and seasonal rates for boarding and grooming may apply. In the event you do not pay your bill in full at time of check-out, you agree that a fee of 1.5% per month (16% per annum,) will be charged. All collection and attorney fees necessary to collect this debt will be the responsibility of the owner or authorized agent. A returned check fee of $25 will be charged to your account each time we attempt to deposit the check and it is returned as insufficient funds. E. While your Pet is in our care, he or she may come into contact with other Pets. Every effort will be made to ensure the safety of our guests by enforcing strict Restrictions on Pets. You acknowledge and agree that in the unlikely event your Pet is injured by another Pet, YOU HEREBY RELEASE We AND ITS AGENTS FROM ANY LIABILITY FOR SUCH INJURY. If
your Pet injures another Pet, you will be solely responsible for any injury to the other Pet(s) as well as your own Pet. All Pets are required to be vaccinated; however, it is still possible for a Pet to become ill, even if vaccinated. You agree that we are not liable for any illness suffered by your Pet during or after its stay. F. Do not bring items with your Pet that are valuable or irreplaceable, We is not responsible for loss or damage to any personal item or toy left with your Pet. G. Pets requiring full Grooming/Veterinary services must wait 3 to 4 hrs for pick up or until called depending on the condition of your pet. If the pet is not called for within fifteen (15) days of stated time of return, We has the right to dispose of pet as we see fit (in most cases, placement in a suitable home) within ten
(10) days after this period. The owner will receive one (1) notification by registered mail during this period .no further notice will be given.
The terms used throughout this Agreement, whether capitalized or not, and in either the singular or plural form, shall mean as follows: “We,” “us,” and “We”. “You” and “your” shall mean the pet owner signing this Agreement. “Pet” shall mean the dog(s) and cat(s) or any animal staying at We and “your Pet” shall refer to the Pet(s) designated by the pet owner in this agreement. By signing you are indicating that you are the responsible party as an adult over the age of 18.You agree that you have full and complete authority to make all decisions, including those related to the expenditure of funds, for or on behalf of you and your pet and that you have had the opportunity to discuss it with us your satisfaction, and you agree to its terms.