Home » Code of Virginia Amendment & Virginia Veterinary Disclosure Form

Code of Virginia Amendment & Virginia Veterinary Disclosure Form

Code of Virginia Amendment

§ 54.1-3806-1 Disclosure forms required.

Any animal medical care facility in the Commonwealth, excluding those facilities dealing with livestock as defined in §3.1-796.66, which does not provide continuous medical care for all animals left in its charge shall, before taking charge of an animal, provide the client or agent thereof with a disclosure form which specifies the hours and days when continuous medical care is not available by the facility. Such form shall be separate and apart from any other form or information provided by the facility. Except in emergency situations when time or circumstances do not permit, such facilities may take charge of an animal only after the client or agent thereof has signed the disclosure form and returned it to the facility. Only one signed form per client shall be required, and the form shall be kept on file by the facility.

Virginia Veterinary Disclosure Form

(Please read carefully before signing.)

Old Mill Veterinary Hospital is continuously staffed by medical, kennel, and business personnel during the following hours:

Monday – Friday: 7am – 8pm

Saturday: 8am – 3pm

Continuous staffing is not provided at other hours or in major holidays; however, medical and kennel staff are present on a non-continuous basis each day to provide the proper care for your pet. Patients requiring continuous monitoring and medical treatment (i.e. intensive care) at times of noncontinuous staffing by this facility can be transferred by the owners or their agent to the Animal Emergency Center where after-hours staffing is provided. Any expenses incurred at the Animal Emergency Center will be the responsibility of the owner and will be payable to the Animal Emergency Center. I have read this form, and I am aware of the staffing hours.

Client First Name(Required)

Client Last Name(Required)

Client Email(Required)

Date(Required)

Signature(Required)