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Formularios de cliente

New Client Form

Nos alegra que nos haya elegido para los servicios de salud, cirugía y salón de belleza de su mascota. Complete y envíe nuestro formulario para nuevos clientes a continuación antes de su primera visita:

Why did you choose East Lake Veterinary Hospital? (choose as many as apply):
About your pet:

You signature below and submission of this form indicates that you have read, understand, and agree with the following policies and procedures: 

- I authorize East Lake Veterinary Hospital to obtain / release all medical records pertaining to my pet(s) to other facilities as requested by pet's parent (guardian).

- I authorize communication with myself and/or other listed pet guardians via phone, email, text, fax, or other means necessary through the information verified above. 

- I authorize treatment of my pet in an emergency.

- I assume responsibility for injuries or damages caused by my pet.

- East Lake and affiliates to utilize the internet and social media platforms for the free exchange of information, education, marketing, and/or customer service and authorize the use of images of my pet(s) or myself and/or survey responses and/or statements for this purpose. 

- I hearby authorize the veterinary to examine, prescribe for or treat my pet(s). I assume responsibility for all charges incurred in the care of my pet(s), and understand that payment is due in full at the time services are rendered. A deposit may be required in advance of treatment. 

Apreciamos su confianza y esperamos brindar atención a su(s) mascota(s). Si te gustamos, díselo a tus amigos. Si no, por favor díganos.

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