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OWNER/CAREGIVER

Please provide the information below as completely as possible. Items marked with an * are required to be answered. All information is strictly confidential.

PET INFORMATION

REFERRAL INFORMATION

PET HISTORY

ACTIVITY/EXERCISE

HOME ENVIRONMENT

ADDITIONAL INFORMATION

The Not So Fine Print

TheraVet requires a $50 (administrative fee/deposit) in order to reserve an initial exam or recheck exam appointment with one of our Doctors. This deposit is applied toward the cost of your exam and it is refundable for cancellations or it is carried forward for rescheduling as a long as either of these events occurs 3 FULL BUSINESS days or more prior to your appointment. We typically will contact you 3 business days prior to your appointment to confirm, but regardless it is your responsibility to contact us in a timely manner if you do need to reschedule. Business days for TheraVet are Mon-Sat. If you call to cancel or reschedule your appointment inside of the 3 day window, your deposit will be forfeited and another $50 deposit will be required to reserve another appointment. Please also note that TheraVet requires a referral from your primary care veterinarian as well as a new client information form from you 3 days in advance of your appointment. TheraVet will contact your primary care Veterinarian for the referral, but it is solely your responsibility to get your new client information form to us as soon as possible. If we have any earlier openings, clients with all their paperwork in place are eligible to be moved up in our schedule. If we do not have all the required paperwork 3 full business days prior to your appointment, we will contact you to reschedule that appointment to avoid loss of your deposit.