Roncesvalles Animal Hospital

Intake Questions with a DOCTOR

Home > Intake Questions with Doctor Form

We are requesting that you complete these questions prior to your DOCTOR visit with us. This will help make your pet's appointment go smoothly.If your appointment is with a Technician, use the other form.

You understand this is a DOCTOR appointment form(Required)

Name(Required)
Are you the individual responsible for decisions and accounts for this pet?(Required)
This individual should be the owner on the account file, responsible for decisions and payments and of legal age (18+) .
Please indicate if any of the reason for the visit:(Required)

If yes, please contact us prior to your appointment date to receive a calming package. This will ensure we can complete a thorough physical exam and avoid having to reschedule your appointment if we are unable to.

We are practicing as a fear free clinic and would like our patients to be as comfortable as possible while in our care.

Is your pet a dog, 1-8 years old, docile temperament, 55+ pounds and would you like to have them join or know more about our blood donor program?
Check out more info on our website, or reach out to us for further information. https://roncesvallesanimalhospital.com/blood-donor-information/
Photo authorization(Required)
At times during your pet’s visit, we may take pictures. Your consent here will act as authorization to use these pictures on Roncesvalles Animal Hospital Facebook, Instagram and social media pages.
Hospital and Cancellation Policy(Required)
For payments we are accepting all major credit cards, Debit, e-transfers or cash.

1. Cancellation within 24 hours of APPOINTMENT time - $37.50
2. Missed APPOINTMENT or more than 10 minutes late for scheduled appointment time - $52.50
3. Missed drop off or cancellation within 72 hours of SURGERY time - $250
We appreciate your consideration and understanding of this policy.

Saturday March 2nd 2024 is our next Blood Donation Day, please complete the new blood donor form and email it to roncesvallesmanager@outlook.com - If you are a returning donor please email cabb@outlook.com to book an appointment.
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