Companion Veterinary Health Center
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  • Home
    • Take a Tour with Us
    • Our Services
    • Preventive Care Plans
  • Contact Us
    • New Client Form
  • Refer a Friend
  • Petly Portal
  • About us
  • Our Policies
  • Online Store
  • Our Blogs
    • Pet Talk with Nancy
    • Guest Blogs
  • Testimonials
  • Client Resources
    • Client Form >
      • How to get your cat to us safe and happy
    • TeleVet
  • Giving Back
  • Privacy Policy
  • Resources
    • Care Credit
  • Veterinary Care From Anywhere
newpatientregistration_vdogs_v2.pdf
File Size: 63 kb
File Type: pdf
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    Additional contact person who is authorize to make medical and financial  decisions on the care of your pet(s). 
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    **We have a patient portal to communicate all lab results, birthday greetings and newsletters. It is all done via email. 
    Save time and Money!

    If you have more then one pet don't worry, we will get that pet's information when you are here and update the file. 
    Terms of Service
     Payment is full is required at the time of services rendered. We do not offer any form of billing. Advanced minimum deposit of half of your pet's medical care plan is expected for all orthopedic surgeries and ultrasounds. This also applies to extensive treatment and severely ill patients. 
    Treatment Authorization and Information/Photo Release
    I am the owner, or the agent of the owner, of the above described pet and have the authority to execute this agreement. I authorize Companion Veterinary Heath Center, LLC to examine and treat the above pet. I have read and agreed to the financial policy of CVHC. I accept full financial responsibility for the pet. I understand that the payment for diagnostic tests and treatment that I authorize by submitting this form or verbally will be due at the my pet is dismissed from the hospital. I also understand that if my pet is hospitalized by CVHC, he/she will need to be picked-up upon the agreed time. 

    Case information and /or photos may be used in teaching, continuing education, veterinary literature, and social media. I authorize release of case/patient information for such purposes. Patient confidentiality with be maintained. In the event of ownership transfer, I authorize the release of medical information to the new owner of this animal.

    ​By submitting this form you agree to all terms and releases. 
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Phone: (860) 779-6070
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