Patient Information










    Stiffness and Mobility:




    Diet and Activity History










    Legal:

    I confirm that I am 18 years or older and am the owner or authorized agent for the owner, of this pet and I have the authority to execute this consent to treat. I hereby give Veterinary Rehabilitation and Exercise Clinic of the Carolinas (Vet-REC), and any authorized agents, staff, or representatives, consent and authority to examine, prescribe for and treat my animal. If I have requested that other services be performed for my pet while it is residing at Vet-REC, I consent to and authorize Vet-REC or its contracted provider(s) to perform diagnostic, therapeutic, anesthetic, emergency, and surgical procedures as are necessary and advisable for the treatment and maintenance of my pet’s health and well-being. I understand that with any procedure or treatment that there are risks that may not be predictable, including death, and I accept these risks. While I expect all procedures to be performed to the best of the abilities of the staff, I acknowledge that no guarantee or warranty regarding the outcome or results of any treatment has been given. I expect that reasonable precautions will be used to ensure my pet’s safety and well-being while in Vet-REC’s care. If an emergency situation arises, I authorize Vet REC to treat my pet until such time as I can be contacted. I understand that every reasonable effort will be made to contact me as soon as possible if an emergency or unanticipated situation arises with my pet. If I am unable to be reached, I authorize the veterinarians to proceed with treatment as deemed necessary for the well-being of my pet. I understand I will be responsible for all charges incurred at checkout. For boarding or drop-off patients, any pet not claimed within ten (10) days of pick-up date, without new provisions being made, will be considered abandoned, and becomes the property of Vet-REC and handled according to our best judgment. I am accepting financial responsibility for all clinic charges and any fees associated with the collection of any unpaid balances. I understand that these charges must be paid at the time of release, a deposit may be required for treatments, pre-paid packages are nonrefundable, and Vet-REC does not accept checks.



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    Appointment Policy

    Your scheduled appointment time is reserved exclusively for you and your pet. In order to provide exceptional care to each and every animal, we do not double-book appointments.

    We will make every effort to accommodate your scheduling needs. In return, we ask that you help us by keeping your scheduled appointments, arriving on time, and notifying us a minimum of twenty-four (24) hours in advance if you are unable to do so.

    Missed Appointments

    What is considered a Missed Appointment?

    a) Arriving over 10 minutes late to scheduled appointment time.

    b) No call/ No-show: A client has not arrived within 10 minutes of the scheduled appointment time with no communication to Vet REC team members.

    c) Appointments canceled less than twenty-four (24) hours before the scheduled appointment time.

    If you think you are going to be late to your pet’s appointment, please call us to determine if your late arrival can be accommodated or if you will need to reschedule.

    Failure to comply with this policy will necessitate a Missed Appointment Fee.

    1. First missed appointment: We realize that sometimes mistakes happen, and occasionally, appointments are missed. As a courtesy, the first-time waiver has been provided for such misses.

    2. Second missed appointment: A charge consisting of 50% of the scheduled modalities will be added to your account and/or charged to your credit card on file.

    3. Chronically missed appointments: Vet REC reserves the right to charge clients 100% of the scheduled modality fees or require clients to pre-pay for appointments in order to schedule.

    The team at Vet REC appreciates your understanding and compliance with these policies. By signing below, you agree that you've read and understand the above appointment policy.



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