TCVM Consent Form * Indicates required informationPet’s Name(Required)Primary Contact Name(Required) First Last Primary Phone Number(Required)Secondary Contact Name First Last Secondary Phone NumberIntegrative medicine is a holistic approach to treating the whole patient and may include a combination of conventional and unconventional therapy to attain the best patient outcome. Traditional Chinese Veterinary Medicine (TCVM) treats the patient using herbal medicine by targeting what is out of blab ace and con often involve treating the "branches" until the "roots" of the problem are exposed.(Required)Select oneYesNoPositive changes and improvements can take more time than conventional treatments because the goal is healing instead of symptomatic treatment. Herbal therapies and diet alterations are often recommended and will change based on how the patient is responding. Pet parents can help by making daily observations about their pet based on some of the questions asked here and any subtle changes.(Required)Select oneYesNoIf appropriate, initial acupuncture is typically recommended at weekly intervals for 4 weeks based on response. Follow up appointments for herbal therapies range from every 2-3 weeks to every few months depending on the case.(Required)Select oneYesNoBy signing below, I acknowledge that acupuncture and herbal medicine are considered to be alternative therapies in veterinary medicine. I have been made aware by my veterinarian that my pet may have a condition that is treatable by utilizing conventional medications. I have approved the use of alternative therapies for my pet by signing this consent form.(Required)Select oneYesNoThis field is hidden when viewing the formREQUIRES REVIEW REQUIRES REVIEW No By signing below, I authorize the use of alternative therapies for my pet.Date(Required)SignaturePlease only click "Submit" once and do not leave this page! This may take a few seconds.EmailThis field is for validation purposes and should be left unchanged.
