Client Information Form

Client Information Form

Please complete this form for faster processing prior to your visit.

Have you been to this hospital before?
Owner Name
Owner Name

Hospital Consent Form

I am the owner or agent of the owner of the above described animal(s) and have the authority to execute this consent. I hereby consent and authorize performance of the procedures or operations as explained to me by Veterinary Emergency Services. I understand that no one under the age of 18 can authorize services.

Emergency Veterinary Procedures

I understand that during the performance of the foregoing procedure (s) or operation (s), unforeseen conditions may be revealed that necessitate an extension of foregoing procedure (s) or operation (s) or different procedure (s) or operation(s) than those set above. Therefore, I hereby consent to and authorize the performance of such procedure (s) or operation (s) as are necessary and desirable in the exercise of the veterinarian’s professional judgment. I authorize the use of appropriate anesthetics and other medication and I understand hospital support personnel will be employed as deemed necessary by the veterinarian. I have been advised as to the nature of the procedure (s) or operation (s) and the risks involved. I realize that results cannot be guaranteed.

Payment is Due at the Time Services are Rendered

Which method of payment will you be using? We do not accept checks.
If my account becomes delinquent, I understand that I am responsible for all expenses, including an interest charge of 18% on the unpaid balance, attorney fees and all court costs.

Appointment Request

Conveniently book appointments anytime using the form below and we'll email you a confirmation.
If you prefer to call, view our phone number, hours, address and directions by clicking here:
Request Appointment

Request Appointment

Please complete this form to request an appointment. We will schedule your reservation and email you or call to confirm your appointment booking. If you have not received confirmation within one business day, please contact us. Required sections are marked with a red * asterisk.

To view our hours, click here: Hours & Contact