Client Agreement Form

Client Agreement Form

To Our Clients,

Thank you for choosing Somerset Animal Hospital for your pet’s visit! We are excited to provide you with the highest level of care and help keep your pet to be as healthy, comfortable, and happy as possible.

We are committed to practicing the highest standard of veterinary medicine, providing effective and prompt communication with our clients, and prioritizing patient comfort.

We always strive to treat our clients and patients with kindness, dignity, and respect. We will listen to your concerns, and answer your questions to the best of our knowledge.

In order to streamline your visit and to help us maintain a safe and welcoming environment for everyone, we ask that you read and sign the following agreement before the start of your appointment:

• I agree to treat the staff and other clients of Somerset Animal Hospital with respect before, during, and after my visit. I understand that behaviors such as verbal abuse, profanity, threats, verbal or physical intimidation tactics, discriminatory language or conduct, or harassment will result in termination of our services and immediate referral for care elsewhere.
• I acknowledge that while the Veterinarians are in the clinic during business hours, they are not always available to talk on the phone or respond immediately to emails or texts to the clinic. I will respect their time, both professional and personal, as well as the time of their other clients and patients. Veterinarians and clinic staff will not correspond with clients on their days out of the clinic or after hours, or when they are working with other patients.

*If you have a medical concern with your pet spanning outside of our hours of operation, there are 24 hours urgent care clinics available in Oakdale, Woodbury, St. Paul, and Eau Claire, as well as a Pet Poison Control hotline.

• I agree to disclose pertinent and accurate information about my pet’s temperament and health history prior to the time of my appointment.
• I acknowledge that I am responsible for contacting my former or current veterinary provider to provide release of records, and request transmission to Somerset Animal Hospital prior to my visit. Records can be emailed to us at smallpets54025@gmail.com.
• Pets at large in the clinic are considered a danger, be it to themselves or others. There is no way to predict how even the calmest and friendliest pet may behave when interacting with new humans or other animals. Herein, I agree to keep my dog leashed at all times when in the clinic lobby and common areas, including outside. I agree to bring my cat in a secure, enclosed carrier and keep them contained until I am safely within the exam room doors. I understand if my pet is not contained and adequately controlled upon entry, I will be asked to reschedule my visit.
• If my pet receives anti-anxiety medications or light oral sedative medications for veterinary visits, I will give those medications to my pet as prescribed for the visit. I understand that if I elect not to give those medications, my pet’s appointment will be rescheduled.
• I understand that Somerset Animal Hospital requires a deposit to book surgeries and dental procedure appointments. This deposit is required at the time of appointment booking. The deposit will be used towards the cost of the scheduled procedure. I understand the deposit is non-refundable if I no-show for my appointment, or if I cancel my appointment within 48 hours of the appointment time.
• Clients who have 3 no-shows, short cancellations less than 24 hours, or late arrivals exceeding 10 minutes past scheduled appointment time, will be required to pay a $25 deposit for future scheduling, and may lose access to online appointment booking.
• I understand that I may request an estimate for the cost of any recommended diagnostics and treatments. I understand that additional recommendations may be made as more information becomes available through diagnostics, which may impact our initial treatment plan. If this should occur, a new estimate will be provided to include additional treatment options.
• I understand that I am responsible for paying my bill in full at the time of my appointment. *Payment plans are ONLY available for CareCredit cardholders with available credit, which must be established before your visit; we do not allow balances to be carried on accounts. If you are interested in applying for CareCredit and need more information, please let a staff member know so we can assist you.
• If I cannot be available by phone at the time of my pet’s appointment, I agree to designate another person (friend or family member) who is authorized to make medical decisions for my pet. I understand that any estimates or costs approved by my designee on my behalf are my responsibility to pay.
• If there are multiple family members in my household, I will designate one person to be the primary contact and medical decision-maker for our pet. This person will be responsible for speaking with our pet’s medical team, and relaying the medical information to the other members of the household.
• I agree to refrain from consuming alcohol or recreational drugs during or right before my visit.
• If I have a concern with my visit, I agree to contact Somerset Animal Hospital at 715-247-2324 or email directly to smallpets54025@gmail.com to discuss my concern(s). I understand that inflammatory online statements and reviews directly contribute to worsening mental health within the veterinary profession, and have at times incited physical violence against veterinary personnel.
• I understand that if I post an inflammatory online statement or review about Somerset Animal Hospital or its staff that I will no longer receive veterinary services from Somerset Animal Hospital, and that my primary care veterinarian will be notified of the review.