Pre-Appointment Form · Vista Animal Hospital

Client Consent
Fear Free Experience

We do our best to promote a Fear Free environment and try to win our patients over with treats (including Peanut Butter) and affection.
Peanut Allergies
Does anyone in your household have peanut allergies?
- Yes
- No
We will put an alert in your pet’s chart to never use peanut butter. Other food treats such as cheese or baby food are available.
Peanut Butter Treats*
May we give your pet any treats, including peanut butter?
- Yes - Peanut Butter Treats Okay
- No - Do Not Give Treats
Other Treats*
May we give your pet any treats, excluding peanut butter because you said someone in your household has peanut allergies?
- Yes - Other Treats Okay, NO Peanut Butter
- No - Do Not Give Treats
Consent*
I agree to the following:
By checking this box, I agree and consent to have the veterinarian(s) at Vista Animal Hospital examine my pet and prepare a medical treatment plan and cost estimate for treatment. I understand that Vista Animal Hospital will provide this treatment plan and cost estimate to me for my approval prior to providing treatment. Vista Animal Hospital practices Fear Free Care. If I would like more information. I may ask for details.
Digital Signature*
Please type your name
Phone
This field is for validation purposes and should be left unchanged.

Client Information