Please select the MedVet location (Required) Select Location Asheville, NC Commerce, MI Dayton, OH Norwalk, CT Worthington, OH (Columbus)
Reason for Visit (Required) Select Reason for Visit Anal gland scooting or licking Back or neck pain Blood in stool Blood in urine Coughing Diarrhea Ear discharge Excessive drinking Excessive scratching Eye discharge, squinting Frequent urination Head shaking Hiding or whining Hives and swelling Limping or lameness Lumps and bumps Not eating or drinking Oozing incision Shaking Skin irritations: itching, hot spots, rashes Sneezing Vomiting Wound Reason not listed
MedVet may use and disclose information from my pet’s medical record, including medical information, demographic information, and images for educational and learning purposes, scientific investigations, and research publications. My pet’s information may be disclosed to veterinarians, veterinary technicians, students, research collaborators, and other personnel within and outside of MedVet. All personal identifying information will be removed prior to disclosure to individuals outside of MedVet and prior to presentation and/or publication.
MedVet may use my pet's first name, photograph and clinical information on MedVet's website, social media, news media page or within informational pamphlets. Under no circumstances will my name, my personal or financial information be shared through these media sources.
I have reviewed and verified that the above information is accurate to the best of my knowledge. I understand that payment in full is expected at the time my pet is released. I may be asked to leave a deposit if my pet is hospitalized overnight for further treatment. An estimate of care options will be discussed prior to treatment. In life-threatening situation, stabilizing care may be instituted upon arrival, but no invasive or diagnostic treatment will be undertaken until it has been discussed with me. The Client Service Representative will be happy to discuss the payment options available to me.
