Terms and Conditions
By booking an appointment you agree to the following terms:
TREATMENT AUTHORIZATION & RELEASE
To the best of my knowledge the animal I am booking an appointment for is in good health. I acknowledge the fact that all pre- and post-operative care is my responsibility. I am the owner or responsible party of the animal.
I am booking an appointment and have the authority to execute this consent.
I hereby authorize the use of such anesthetics and medications as deemed advisable, and the performance of such surgical and therapeutic procedures as determined to be necessary. I understand that some risks always exist with anesthesia and/or surgery, vaccinations, and treatments. I agree to give Dr. Alexis Bardzinski permission to spay/neuter my pet. I understand there are risks associated with anesthesia, which although rare may include death. I am aware that my pet will have minimal anesthetic monitoring equipment and I can go elsewhere (to a private veterinarian with a fully equipped operating room) if this is not acceptable.
I AGREE TO PURSUE ANY FURTHER POST OP CARE ON MY ACCORD AND WITH MY OWN FUNDS ONCE MY PET IS DISCHARGED BACK INTO MY CARE.
I AGREE TO:
- Keep pet indoor and secure for a minimum of SIX DAYS
- Use an Elizabethan Collar (cone of shame or other devise to prevent animal from chewing of the surgical site) for a minimum of FIVE days.
- Keep my animal dry from weather, bath, water in general for up to TEN days.
- Monitor the surgical site
- Any additional measure to provided reasonable care to my animal.
I understand if ANY problems occur, or I have questions I am to contact my own personal Veterinarian at my own expense.
I agree to indemnify and hold harmless Caldwell County Animal Coalition (CCAC), the attending veterinarian, The City of Lockhart, Caldwell County and their affiliates, from and against any and all liability arising out of the performance of all procedures referred to above.
I acknowledge this a low-cost vaccination & spay/neuter clinic. My pets are not receiving a physical examination, but I am taking full responsibility that they are healthy. I will be responsible for any additional medical expenses that may occur after this clinic. I release the veterinarian, Caldwell County Animal Coalition, Caldwell County, The City of Lockhart from any and all responsibility .
PAYMENT IS REQUIRED AT FORM SUBMISSION. NO APPOINTMENT WILL BE SET WITHOUT PAYMENT.
OUR FEES ARE LOW BECAUSE OF A GRANT FROM CALDWELL COUNTY. CCAC IS NOT ABLE TO OFFER REFUNDS; BUT WILL CONSIDER SUBSTITUTION OR TRANSFER OF VOUCHER IN SOME CIRCUMSTANCES WITH PRIOR WRITTEN CONSENT/AUTHORIZATION OF CCAC
NO SHOWS WILL BE CONSIDERED A DONATION UNLESS ARRANGEMENTS HAVE BEEN MADE PRIOR WITH CCAC.
I, THE PET OWNER OR AGENT THEREOF, CONFIRM THAT ALL INFORMATION I HAVE PROVIDED ON THIS FORM IS ACCURATE AND TRUE TO THE BEST OF MY KNOWLEDGE AND AGREE TO THE TERMS ABOVE;
I UNDERSTAND THERE ARE NO REFUNDS. This is because this CCAC has agreed to pay the surgical team a set amount that has been reduced because of a grant that will only be honored by the actual attendance.
I understand I will receive a call or text approximately 4-6 hours after drop-off to pick up my pet.
I understand that I CANNOT feed my animal after 10:00 pm the night before surgery.