New Patient Center

Client Medical Registration

Owner Information

Mailing Address

Physical Address

Pet Information

Previous Veterinary Hospital

Referred By

Agreement

Treatment Authorization and Information/Photo Release
I hereby authorize BVH to perform medical and initial diagnostic/surgical procedures on this animal as required for diagnosis and treatment. I understand that I can terminate treatment at any time by contacting the doctors and assistants.

BVH and its staff are leaders and teachers in the veterinary medicine field, thus case information and/or photos may be used in teaching, forms continuing education, web site, social media, and the like. Client information will never be released.

In the event that I sell this animal to another owner, I authorize release of medical information to the new owner.

Financial Policy
Payment is due as services are rendered. For hospitalized cases, a deposit is required in advance. The balance is due upon discharge from the hospital. You may pay by cash, personal check (with proper identification), and accepted credit cards. If payment arrangements are needed, I understand that they must be agreed upon prior to admitting my pet. In order to avoid misunderstandings, please let us know immediately if these terms are not satisfactory.

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Office Hours

Monday 7:00am 6:00pm
Tuesday 7:00am 7:00pm
Wednesday 7:00am 6:00pm
Thursday 7:00am 7:00pm
Friday 7:00am 6:00pm
Saturday 8:00am 4:00pm
Sunday Closed Closed