TAX ID #:
APPOINTMENTS:Appointments may only be scheduled by those identified in this agreement. Appointments made by individuals not listed on this form will not be accepted. Cancellations must be done 24 hours in advance. No show appointments / last minute cancellations (less than 24-hour notice) will be charged a $15 fee after the first two missed appointments per rescue per quarter during the calendar year.
HOURS OF OPERATION:Surgery admit times are staggered. Scheduled patients must be dropped off during scheduled surgery admit time. Failure to drop off during assigned period, will be treated as a no-show. You will be given a minimum of one-hour notice when animals are ready to be picked up. All animals must be picked up by closing time or may incur a $25 late fee. Same day add-ons will not be accepted nor patient swaps.
CARRIERS: Each feline must be in their own individual hard-sided carrier or trap (for ferals). Each carrier should be labeled with Rescue Name, Animal Name, Transporter Name, Contact # and services requested. This allows us to verify that the original appointment information needs match the current needs of the animal. Failure to list services on carrier may result in them not being completed.
RESTRAINTS: Each canine must have a neck collar and arrive on leash. Retractable leashes, choke chains and harnesses without a neck collar will not be accepted. Smaller dogs are encouraged to be in carriers and follow carrier instructions above.
PRE-SURGERY: We highly recommend that every cat / dog have a minimum of one core vaccine (FVRCP (cats), DHPP (dogs) prior to alter. All cats / dogs need to be free of illness for at least seven days and have no signs of infection / illness at time of alter. Please bring relevant medical history to surgery. All animals will be examined prior to surgery as allowed by patient temperament. Proceeding with surgery and / or services is at the sole discretion of the doctor.
By bringing animals for surgery, the rescue has verified that said animals have not been exposed to any communicable disease within the last seven days. Additionally, the animal(s) have not shown aggression, bitten, inured or killed any animal or person.
All dogs three months and older are required by state law to have a current rabies vaccine. If you cannot show proof of a current valid rabies vaccine, the dog will receive a rabies vaccine at time of alter at rescue expense.
All animals 5+ years of age require pre-anesthetic bloodwork. It can be completed at another veterinary clinic no more than ten days prior to surgery or day of surgery for additional cost.
SURGERY: Additional charges may apply if the animal(s) are overweight, pregnant, recently or active in heat or cryptorchid. We highly recommend the use of e-collars to protect your animal’s incisions. If you decline an e-collar and your animal requires a follow-up veterinary visit due to licking or scratching the incision, an exam fee will be charged.
We tattoo all animals once sterilized. All cats brought in for TNR (in a trap) will be ear-tipped. You can elect to have non-TNR cats ear-tipped if needed.
Anesthesia, surgery, medications, vaccines all involve some inherent risk to animals. We take reasonable precautions against escape, injury or death of the animals in our care.
POST-SURGERY: Post-surgery instructions are standard and will be provided upon establishing this agreement. Please provide them to your fosters in advance. Should there be additional instructions, they will be provided at time of release to transporter. If there are any concerns post-surgery, contact the main line for assistance during open hours. For urgent or emergent concerns outside business hours, please seek emergency care at AVECCC. Post-surgery costs are the responsibility of the owner / rescue.
RELEASE / HOLD HARMLESS: Brookview Animal Wellness, its owners, veterinarians, employees, representatives, volunteers or any other persons affiliated with Brookview Animal Wellness shall not be held liable for any harm or death that may come to the animals or individuals bringing said animals.
CONTACTS: Please indicate what each person is responsible / authorized for (Billing, Scheduling, etc):
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AUTHORIZATION AND CONSENT FOR TREATMENT: Brookview Animal Wellness, its owners, veterinarians, employees, representatives, volunteers or any other persons affiliated with Brookview Animal Wellness shall not be held liable for any harm or death that may come to the animals or individuals bringing said animals.
SERVICES: Brookview Animal Wellness, its owners, veterinarians, employees, representatives, volunteers or any other persons affiliated with Brookview Animal Wellness shall not be held liable for any harm or death that may come to the animals or individuals bringing said animals.
Please select the services The Rescue will cover at time of alter:
PAYMENT: Payment for all services performed is due on the service date. Provide rescue credit card information below to simplify the payment process. This information will be securely stored only within out veterinary practice management system.
If you do not wish to have a credit card on file, you may be required to provide a deposit at time of appointment confirmation.
Payment in full is due at time of check-out.
Credit Card Authorization
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By signing below, the Rescue acknowledges that leadership has read, understands and will comply with this agreement as of March 28, 2023
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Your legal name
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Signed by Carrie Neidorf
Signed On: December 28, 2022
If you have questions about the contents of this document, you can email the document owner.
Document Name: Animal Rescue Partner Agreement
Agree & Sign