New Client Treatment Consent Form PhoneThis field is for validation purposes and should be left unchanged.Welcome to the PAZ family! We are so happy you’ve joined us and are excited to provide excellent customer service for you and tailored veterinary care for your pet(s). This consent form authorizes or declines delivery of your approved care for your pet, social media posts, and lots of love for your furry friend(s). Please fill this form out completely and accurately. * Indicates required informationPrimary Contact Name(Required) First Last I authorize the veterinarians and support staff at PAZ Veterinary to give my pet lots of love (and treats).(Required)Select oneYesNoPlease explain(Required)I authorize adorable photos of my pet(s) being posted on PAZ Veterinary social media accounts.(Required)Select oneYesNoI authorize my veterinarian and support staff at PAZ Veterinary to use Fear Free methods to gently handle and care for my pet.(Required)Select oneYesNoI authorize diagnostics and treatment for my pet as deemed medically appropriate in my veterinarian’s professional judgement. (Estimates will be provided happily – please feel free to request them!)(Required)Select oneYesNoThis field is hidden when viewing the formREQUIRES REVIEW REQUIRES REVIEW No I accept financial responsibility for any charges incurred during my pet’s care at PAZ Veterinary, including any emergency care and associated charges. I understand payment is due at the time of my pet’s discharge from the hospital and will render payment in full. (Financing is available through ScratchPay during times of financial constraint.)Date(Required)Signature(Required)Please only click "Submit" once and do not leave this page! This may take a few seconds.
