Pre Existing Client Telemedicine Form – Scottsdale Veterinary Hospital

Client Information
Name*
First Last
Phone*
Email
Patient Information
Name*
Species
Payment Policy
Hospital policy requires payment at the time services are rendered. If you are not familiar with the cost of veterinary services, feel free to ask for an estimate/treatment plan prior to any treatments. For hospitalization , extensive care, or diagnostics , a deposit of 70% will be required prior to treatment.

We offer the following payment options: Cash, Debit Card, Visa, or Mastercard. NO CHEQUES ACCEPTED .
Consent*
I have read and understand the information provided regarding telemedicine and understand the limitations in diagnosing and providing care for my pet. By replying to this email (and participating in the telemedicine consultation), I hereby give my informed consent for the use of telemedicine in the medical care of my pet.
Click here to read our Telemedicine policy

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Client Information