New Client Packet

Full payment is due at the time of services and a $78.00 deposit is required for all initial appointments. Collection services/attorney fees will be levied on all unpaid balances as well as a finance charge of 18% per annum and a $3.00 monthly billing charge.

To prevent the spread of infectious diseases and parasites, hospitalized patients must be current on all vaccines and free of internal and external parasites. I authorize the doctor to administer vaccines and parasite control as needed for my pet.

As Fear Free Cetrified Professionals, we want to make your pet’s veterinary experience as enjoyable and as stress-free as possible. As such, it’s important for us to understand what your pet might find upsetting. The information will help us to adjust our care to better serve and comfort your pet. Please answer the following questions to the best of your ability so we can take into consideration both your and your pet’s preferences.

Code of Virginia Amendment

§ 54.1-3806-1 Disclosure forms required.

Any animal medical care facility in the Commonwealth, excluding those facilities dealing with livestock as defined in §3.1-796.66, which does not provide continuous medical care for all animals left in its charge shall, before taking charge of an animal, provide the client or agent thereof with a disclosure form which specifies the hours and days when continuous medical care is not available by the facility. Such form shall be separate and apart from any other form or information provided by the facility. Except in emergency situations when time or circumstances do not permit, such facilities may take charge of an animal only after the client or agent thereof has signed the disclosure form and returned it to the facility. Only one signed form per client shall be required, and the form shall be kept on file by the facility.

Virginia Veterinary Disclosure Form

(Please read carefully before signing.)

Kiln Creek Animal Care is continuously staffed by medical and business personnel during the following hours:

Monday – Friday: 7:30 AM to 6:00 PM

Saturday: 8:00 AM to 12:00 PM

Continuous staffing is not provided at other hours or in major holidays. Patients requiring continuous monitoring and medical treatment (i.e. intensive care) at times of non-continuous staffing by this facility can be transferred by the owners or their agent to the Animal Emergency Center where after hours staffing is provided. Any expenses incurred at the Animal Emergency Center will be the responsibility of the owner and will be payable to the Animal Emergency Center.

We understand that unplanned issues can come up and you may need to cancel an appointment. If that happens, we respectfully ask for scheduled appointments to be canceled at least 1 hour in advance.

Our veterinarians and staff want to be available to your needs and the needs of all our clients & patients. When a client does not show up for a scheduled appointment, another patient loses an opportunity to be seen. We understand that unplanned issues can come up and you may need to cancel an appointment. If that happens, we respectfully ask for scheduled appointments to be canceled within the time frames outlined below.

Appointment No Shows and Late Cancellations

For scheduled appointments, clients who DO NOT show up or give more than a 1-hour notice of cancellation of the scheduled appointment will be required to pay a no-show/late cancellation fee of $78 prior to scheduling future appointments.

New Client Exam Exposits

For new clients, an exam deposit of $78 is required at the time of scheduling an appointment. The exam deposit is fully refundable if the client cancels prior to the 1-hour timeframe of the scheduled appointment. If a client cancels within 1-hour of the scheduled appointment or they simply DO NOT show up, the deposit renders payment towards our no-show/late cancellation policy, and another exam deposit of $78 will have to be paid prior to scheduling future appointments.

Surgery No Shows and Late Cancellations

For scheduled surgeries, we require at least a 48-hour notice prior to surgery cancellation. If a client cancels within 48 hours of their pet’s scheduled surgery, or simply DO NOT show up, a no-show/late cancellation fee of $100 must be paid prior to scheduling any future appointments.

Technician No Shows and Late Cancellations

For scheduled technician appointments, clients who DO NOT show up or give more than 1-hour notice of cancellation of the scheduled technician appointment will be required to pay a no-show/late cancellation fee of $29 prior to scheduling future appointments.

Mobile Specialist No Shows and Late Cancellations

for scheduled appointments with the mobile ultrasound specialists, clients who DO NOT show up or give more than a 24-hour notice of cancellation of the scheduled appointment will be required to pay a no-show/late cancellation fee of $100 prior to scheduling future appointments.

I grant Kiln Creek Animal Care, its representatives and employees the right to take photographs of me and my pet(s). I authorize Kiln Creek Animal Care, its assigns and transferees to copyright, use and publish the same in print as well as electronically.

I agree that Kiln Creek Animal Care may use these photographs of me and/or my pet(s) with or without my name for any lawful purpose, including use on Facebook, on the Kiln Creek Animal Care website, in AVI Mark, and in our clinic.

I have read and understand the above: