"*" indicates required fields FacebookThis field is for validation purposes and should be left unchanged.Walk-In Appointment Consent Form Walk-In Appointment Hours: 1:30 PM – 4:15 PM(The last walk-in appointment will be accepted at 4:15 PM.) Thank you for choosing Willoughby Veterinary Hospital for your pet’s care. Please fill-in and review the following information regarding our walk-in appointment policy and sign below to indicate you’re understanding and consent. Walk-In Policy Walk-in appointments are available on a first-come, first-served basis. Waiting times may vary depending on the number of walk-ins and the evaluation of emergencies. We appreciate your patience and understanding as we work to care for all our patients efficiently and compassionately. Exam Fee and Payment The exam fee is $78, which covers the exam only. (Diagnostics, treatments, and medications are not included in the exam fee.) Please notify our staff immediately if you have any financial concerns at any point during your pet’s appointment. Payment is due at the time of service. We do not offer payment plans; however, we can provide information on CareCredit and Scratchpay if financial concerns arise during your visit. Check-In and Exam Process During check-in, a veterinary assistant will meet with you to obtain a brief history of your pet’s condition. We respectfully ask that you remain in the waiting area or wait in your car until your pet is ready to be examined. Exam rooms will not be open for use during walk-in hours. When the doctor is ready, your pet will be taken to the treatment area for the exam. After the exam, the doctor will come to speak with you to discuss findings, recommendations, and next steps for your pet’s care. Acknowledgment and ConsentBy signing below, I acknowledge that I have read and understand the above information regarding the walk-in appointment process, fees, and policies at Willoughby Veterinary Hospital I consent to proceed with today’s walk-in exam for my pet under these terms.Pet Name*Arrival Time*Client's Name* First Last Phone Number*Reason for VisitUp to date on Rabies Vaccine?* Yes No Signature*Date* MM slash DD slash YYYY
