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Call
719-475-1747
for an appointment
PPVC Online Pharmacy
About
About Us
Staff
FAQ
Services
Forms & Resources
Policies & Forms
Pet Health Library
Blog
Contact
Call
719-475-1747
for an appointment
PPVC Online Pharmacy
About
About Us
Staff
FAQ
Services
Forms & Resources
Policies & Forms
Pet Health Library
Blog
Contact
About
About Us
Staff
FAQ
Services
Forms & Resources
Policies & Forms
Pet Health Library
Blog
Contact
PPVC Online Pharmacy
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Client Information Update Form
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Client information
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Address
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Primary Phone Number
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Email Address
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Which email address would you prefer to use for reminders about your pet's care?
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How would you prefer to be contacted regarding follow-up care for your pet(s)?
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Consent & privacy agreement
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Consent
I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet. I assume full responsibility for all charges incurred in the care of this animal. I also understand that the full amount must be paid before my pet can be released to me, and that a deposit may be required for surgical procedures.
Please know that our attention is placed on you and your pet while you are at Pikes Peak Veterinary Clinic. Occasionally we may miss charges and you are authorizing that we may bill you for any missed charges found within 30 days of your appointment.
Privacy
We are the sole owners of the information collected on this site. We only have access to and/or collect information that you voluntarily give us via direct contact from you. We will not sell or rent this information to anyone.
We will use your information to respond to you regarding the reason you contacted us. We will not share your information with any third party outside of our organization other than as necessary to fulfill your request, e.g. to fulfill an order.
Unless you ask us not to, we may contact you in the future to tell you about specials, new products or services, or changes to this privacy policy.
If you feel that we are not abiding by this privacy policy, you should contact us immediately.
I agree to the consent terms and privacy policy.
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