Client Information Page 2

Date

Thank you for giving us the opportunity to care for your pets.

So that we may become better acquainted, please complete the following.

Account

CLIENT INFORMATION

Virginia Veterinary Disclosure Form

The vetXpress Veterinary Clinic of Short Pump has business hours as follows:

Monday through Friday 7:00 am to 7:00 pm for patient drop-off and pickup.

Saturday Hours are 9:00 am to 6:00 pm.

We are closed Sundays and Major Holidays. We are closed from Noon to 1:00pm everyday.

Doctor's hours are from 9:00 am to 6:00 pm Monday through Saturday.

This form is to inform you that we have no on-duty, continuous medical staff beyond the Doctor's Hours posted.

I have read and understand this disclosure form.

Signature _____________________________________ Date _________________

Printed Name ______________________________________

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