Client and Patient Information
[please allow yourself about 20 min to complete this form]
Please bring completed (your part) insurance forms to your initial visit if applicable.
Consent for Care
Cancellation fees apply to notification <48 hours. 120.00 for initial visits. 65 for 1 hour follow ups, and 55 for 30 min visits. Consideration is made for special circumstances out of respect for you, however, the relationship is mutual. Since every effort is made to ensure you have a booking (my bookings are usually longer), it is not easy to fill these vacancies if you cancel short notice. Please respect the needs of myself and others and consider cancelling with significant notice if required. Repeat cancellations of regular appointments or frequent short notice cancellations may result in termination of the veterinary-patient-client relationship.
Your privacy matters, and we are committed to your privacy. If you want to understand what safeguards we have in place to protect your personal information, you may visit Equilibrium's website (www.equilibriumvrc.com) or contact this office 403.938.3841.
Clinic Policies and Administration
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Thank you for filling out this form! I look forward to meeting you and your fur friend. ~ Dr. S. Budiselic
Last updated December 3, 2018 by Dr. S. Budiselic