Please fill out ALL required fields marked with an asterisk *

  • New Client Information

  • Date Format: DD slash MM slash YYYY
  • ** All invoices, receipts, exercise recommendations, appointment reminders and other correspondence will be sent by via email, as this attempts to be an entirely green practice.
  • Your Pet's Information

  • *** Please bring your dog’s favorite treat broken into small bits with you.
  • (ex: Rimadyl 25 mg–1 twice daily) separate by new line.
  • include: herbs, vitamins, glucosamine, glandulars and homeopathics. Separate by commas.
  • Client Rehabilitation

  • Consent for Rehab Therapy - RESPONSES REQUIRED

  • Release Section - RESPONSES REQUIRED

  • By signing this statement, I signify that I agree and accept these conditions.
  • Canceled Appointments Policy - RESPONSE REQUIRED

    Healing Arts Animal Care is committed to providing all of our patients with exceptional care. When patients cancel without giving enough notice, they prevent another patient from receiving care. We understand that sometimes emergencies happen. Please let us know as soon as possible if you won’t be able to keep an appointment. Call, text or email: (971) 703-3303 (healingartsvet@yahoo.com) by noon on the day prior to your scheduled appointment to notify us of any changes or cancellations. To cancel a Monday appointment, please call our office by noon on Friday. If prior notification is not given, you will be charged $75 for the missed appointment or a punch on your card. Significant time and resources are committed by Healing Arts Animal Care to prepare for my first visit for my pet. Records and x-rays are collected and extensively reviewed before you even come through our door. Therefore, there is a $100 deposit required for new clients. If the appointment is cancelled by noon the day prior to the appointment then it will be refunded to your credit card. If there is a late cancellation or no-show the deposit will be forfeited. We will then use that $100 deposit toward the cost of your first visit.
  • By initialing, I agree to the above policy and payment of fees incurred through cancellation.
  • Significant time and resources are committed by Healing Arts Animal Care to prepare for my first visit for my pet. Records and x-rays are collected and extensively reviewed before you even come through our door. Therefore, there is a $100 deposit required for new clients. If the appointment is cancelled by noon the day prior to the appointment then it will be refunded to your credit card. If there is a late cancellation or no-show the deposit will be forfeited. We will then use that $100 deposit toward the cost of your first visit.
  • By initialing, I state that I understand the new client deposit and cancellation policy..
  • Annual Physical Exam

    Patients who are treated at Healing Arts Animal Care for over one year will need to have an annual physical exam with us. We need to do this once a year for all of our patients to stay in compliance with state law. The exam can be done at a regular visit and the fee is $50. If you have any concerns about this, feel free to talk to us about it.
  • By initialing, I agree to annual physical exams and accept these finanical conditions.
  • FINANCIAL INFORMATION

    Healing Arts Animal Care happily will take cash, check, American Express, Discover, Visa and Mastercard for payments. Payment is always due at the time of service. There is no billing permitted for services. If payment is not received at the time of service there is a 10% per month billing fee, and non-payment is sent to collections at 90 days. There is a $30 returned check fee.
  • By signing this statement, I signify that I agree and accept these financial conditions.
  • I understand that by initialing that this constitutes a legal signature confirming that I acknowledge that the above information is true and agree to the above terms and releases of liability.
  • This field is for validation purposes and should be left unchanged.
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