Reptile or Amphibian

CONSENT

By clicking the checkbox below I am providing my consent to the terms described below.

I hereby authorize the Pikes Peak Veterinary Clinic (PPVC) veterinarian to examine, prescribe for, or treat the above described pet.

As the owner or agent of the above animal, I hereby give my consent to PPVC to perform a physical exam. Additional treatments and procedures will be communicated in person (or via phone when lab results are returned) and will be noted in my pet's medical record as confirmed or declined.

I understand that during the performance of these procedures unforeseen circumstances may be revealed that necessitate an extension or variance in the procedures set forth. I expect PPVC to use reasonable care and judgment in performing the procedures. The nature of the procedures and the risks have been explained to me and I realize results cannot be guaranteed.

I am also aware that unforeseen events resulting from the procedure will not relieve me from any obligation to pay all reasonable costs incurred regarding the animal.

(Please know that our attention is placed on you and your pet while your pet is 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.)

I understand that payment is required in full at the time services are rendered.

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.
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.