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Killara 02 8350 5678 | Pymble 02 9499 4010 | Mobile Vet 02 8350 5677

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General & Preventative Health
New Puppy or Kitten Care: Helping You Give Them the Best Start
Heartworm & Intestinal Worm Treatment
Microchipping for Dogs and Cats
Pet Nutrition Advice for Dogs & Cats
Tick & Flea Protection
Senior Pet Care
Routine Pet Health Checks
Pet Vaccinations
Rehabilitation
Physiotherapy for Dogs
Laser Therapy for Pets
Medicine & Surgery
Prescriptions and Medications
Skin & Ear Disease Care for Dogs and Cats
Pain Management for Pets
Orthopaedic Surgery for Dogs & Cats
Soft Tissue Surgery
Cancer Care & Chemotherapy for Pets
Dog & Cat Dental Care
Dog & Cat Desexing
Palliative Care & Pet Euthanasia
Emergencies
Pet Poisoning & Toxicity Treatment for Dogs and Cats
Paralysis Tick Treatment & Emergency Care
Emergency Vet Care for Dogs and Cats
Diagnostics
Pet Blood Tests & Diagnostic Pathology
Pet Endoscopy, Rhinoscopy & Bronchoscopy
Pet Radiography (X-ray) & Ultrasound
Other Services
Greyhound Vet Care
Brachycephalic Dog Care & BOAS Support
Wildlife Care
Pet Insurance Guidance
Puppy School & Dog Training North Shore
Cat Vet Care on Sydney’s North Shore
Cat Boarding North Shore
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Killara (02) 8350 5678
Pymble (02) 9499 4010
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Hospital Consent Form

Welcome to The Village Vet!

Please complete the following details.

Which Clinic are your visiting?(Required)

Pymble

Killara

Procedure Date:

Procedure:

Patient:

Weight today

Age

Customer

Address

Phone

Alternative Contact No. if different for today:

Insurance

Pet Insurance?

Yes

No

If you wish to claim for today please let a nurse or receptionist know and we can submit it electronically for you.

Would you like us to make GAP claim for you?

Yes

No

Insurance Company Name

Insurance Policy Number

Questions

When did you pet last eat?

Please record any current medications your pet is on:

When was the last dose given?

Cost Estimate provided by vet?

Yes

No

Estimate of initial costs:

If "No" would you like us to provide you with one before proceding?

Yes

No

Permission to use photos we may take on social media?

Yes

No

I agree to payment of the fees when I collect my pet from the clinic

Your pet is being admitted into hospital today for a procedure or hospital treatment as outlined above. The vet or nurse may also call you with further updates and necessary treatments. If your pet is staying in hospital overnight the vet will update you each day on estimated costs. I will be available throughout the day by phone, and if not, I am happy to have my alternative contact make decisions on my behalf.

Please type your full name for acceptance

Signature

Date

Internal only

Patient ID:

Customer ID:

Weight today

Description

We make sure your pets are healthy and happy by providing comprehensive and affordable vet care.

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About The Village Vet
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Feedback
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Food & Medication Order Form
New Client Form
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Toxicity Calculator for Dogs

Contact

Feel Free Get In Touch With Us Via Phone Or Send Message.

Killara – (02) 8350 5678
Pymble – (02) 9499 4010

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