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Client Information Form

Save time during your next appointment! Complete your required forms online from any device at any time before your visit.

Client Information Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please call us at 434-202-2987 for a faster response.

Pet Information

I acknowledge that I am responsible for payment in full at the time of my pet’s discharge. I am also aware that VVS is pleased to provide specialized and critical care for my pet and any follow-up care related to today’s visit; this hospital does NOT provide routine preventive veterinary care.

Peanut Law

I understand that Virginia Veterinary Specialists has business and medical staffing hours Monday through Friday 8:00 am to 6:00 pm. The in-house medical care after these hours is provided by the emergency service here (Greenbrier Animal Emergency Hospital), in association with Virginia Veterinary Specialists.

CONSENT TO USE ELECTRONIC SIGNATURES

BY CHECKING THIS BOX, CUSTOMER EVIDENCES ITS CONSENT TO THE USE OF ELECTRONIC SIGNATURES ON THIS AGREEMENT BY CUSTOMER AND/OR COMPANY AND TO THE ELECTRONIC DELIVERY OF SUCH AGREEMENT AMONG THE PARTIES.