Is there anyone else you would like to add to the account that could have access to your pets healthcare information (family member, pet sitter, etc)?

Additional Information

Treatment Consent

I, the owner of the patient(s), hereby authorize the veterinarians and staff of Mountain View Animal Hospital & Holistic Pet Care to examine, treat, and prescribe necessary medication for the above listed pet. This includes, but is not limited to, procedures therapeutically and/or diagnostically. I understand that no guarantee of successful treatment is made. I further understand that this facility has a doctor on staff between 7:30am to 5:30pm only, therefore, there is no continuous presence of doctors after regular business hours. I certify that all the information above is correct, that I am the rightful owner or authorized agent of this pet(s) and that I am at least 18 years of age. Mountain View Animal Hospital & Holistic Pet Care does not operate as an emergency hospital and although we will always try to be available, I understand I may be referred to an emergency hospital even during open hours if we feel it is best for my pet(s).

I understand by Nevada pharmaceutical law, all prescriptions including herbals that leave the hospital are non-refundable, even if my pet(s) has a reaction.

Payment Policy

Please note: All fees incurred at Mountain View Animal Hospital & Holistic Pet Care are required to be paid upon time of service. We do not accept payment plans or delayed billing. Any unpaid balance left unpaid are subject to accrued 1.5% interest after 30 days, and balances left unpaid for more than 90 days will be sent to collections in addition to a 40% collection fee. There is a $35 charge for each returned check, and we do not accept any postdated checks.

We accept Visa, Mastercard, American Express, CareCredit & for established clients (with a least 2 previous visits) we also accept checks.

Cancellation Policy

We request that any cancellations be made at least 24 hours prior to the start of your pet's medical appointment, grooming appointment or boarding/daycare reservation. If you cancel without ample notice or do not show up to your appointment or boarding/daycare reservation you may be required to pay a cancellation fee. This fee is non-refundable and cannot be applied toward any other services.

I have read, understand and accept all the information above.

Electronic Communication Disclaimer

Mountain View Animal Hospital & Holistic Pet Care offers client communication through email, calls, and texts. If you choose to text our office, you are entering into the agreement detailed below.

By enrolling in our texting program, you are authorizing our office; Mountain View Animal Hospital & Holistic Pet Care, to send text messages to you on your provided cell phone number. You certify you are the person who is legally responsible for all use of the accounts, and are at least 18 years of age or older, and have agreed to all terms and conditions of use for the text messaging services. You understand that you can reply to confirm appointments, make future appointments, and get office location, office hours, and other alerts /information. Text message charges from your cell phone carrier may apply.

Mountain View Animal Hospital & Holistic Pet Care offers a text messaging system to our current clients for the following:

Appointment confirmations and other services and content deemed appropriate. By opting-in our text messaging program, you are providing consent for us to reach you via text for confirmation, cancelations, rescheduling, office closing, follow-ups, and any other forms of communication. Data and message rates may apply so please contact your cell phone carrier for additional information regarding your text messaging plan/coverage.

Pet's Information

Media Consent

At Mountain View Animal Hospital and Holistic Pet Care, we LOVE to share our patient's cute faces! We try to photograph their success stories, "spa days", playtime in boarding or daycare, and really any moment we can capture that expresses that love! In addition, we add your pet's picture to their medical profile for safety and identification purposes. With this, we require authorization.

I hereby grant Mountain View Animal Hospital and Holistic Pet Care permission to use any photographs taken of my pet in all its publications, including website and social media entries. I understand this is voluntary and I am aware I will receive no compensation. I understand and agree that these materials will become property of the hospital. I hereby release the hospital and its employees from any claims, demands, and causes to action which I, my heirs, representatives, executors, administrators or any other persons acting on my behalf or the behalf of my estate, have or may have by reason of this authorization.

Release of Liability for Holding

Our staff is trained to physically manage, hold, or otherwise restrain your pet in the safest and most comfortable way. Should you decide that you wish to assist during exams or procedures, our staff and hospital shall not be held liable for any injury that may arise, whether it be done to or by your pet.

I have read and understand the release of liability for holding my pet and the media consent form and have been given opportunity to ask any questions.

Holistic Chinese Diagnostic History Form

Welcome to our Holistic Clinic! Please take several minutes to fill out this form. This detailed history helps our holistic doctors establish a Holistic medical diagnosis, aiding in our treatment and herbal recommendations. We encourage you to fill this form out anytime you feel there are major changes in your pets history. You may ask for this form at any of your recheck examinations.

Please Check off All that Apply:

Please check any Chronic Problems your pet has / is suffering from:

Five Element Quiz

The 5 elements are an old philosophy used to describe interactions and relationships between personality, health, and predispositions to common ailments. Once a holistic veterinarian has reviewed your pet and this quiz, they will supply you with the information of your pet's element.