New Patient Form

Posted by on June 15, 2012 in Recent News | 0 comments

New Patient Form

Please complete this form prior to your first appointment.  If you have any questions, give us a call at (916) 342-1245.  You may also click here to download a fill-able form; and fax to (916) 930-6034 or send by email.

If your pet has any pertinent medical records from another veterinarian, please request that these be faxed as well.

 

 

New Patient Form
Cat
Dog
Other Species
Male
Female
Yes
No
Not sure
Yes
No
Yes
No
Not sure
Yes
No
Cooler
Warmer
"Earth" - friendly, easy-going, food-motivated, relatively calm
"Fire" - talkative, vocal, barks a lot, high energy, demands attention
"Wood" - Dominant, aggressive or irritable tendencies
"Metal" - clean & tidy, likes order, routine and rules
"Water" - fearful, submissive, tendency to hide
I'm the real thing!

Waiver/Informed Consent

By submitting the New Patient Form I am stating that I understand that Meridian Veterinary Care offers both traditional veterinary care AND alternative care modalities including herbal medications and homeopathic remedies. I understand that the safety and/or effectiveness of some alternative modalities are not well-established and or deemed “experimental” according to the American Veterinary Medical Association. I also understand that, although rare, the potential for adverse reactions to herbal medications exists.

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