New Client Form
This form is for clients that have booked an appointment with our clinic and will be attending an appointment for the first time. There will be a link for a form for your pet’s information once this form has been submitted. Please ensure that any information provided over the phone when booking the appointment matches your submission so we are able to find your file.
IF YOU ARE A CURRENT CLIENT AT OUR HOSPITAL, DO NOT SUBMIT A FORM
Forms must be completed by the primary owner of the pet.
Forms completed for appointments that have not been booked will not be processed.
Any forms considered incomplete, misleading, fraudulent, or containing inappropriate information will not be processed.
Please contact us if you have questions about filling in these forms.
Client Rights and Responsibilities
As a client at Parkway Animal Hospital (PWAY), I have the responsibility to:
Treat all patients, other clients, and staff members fairly and with respect.
Recognize that patients presenting for urgent care will be triaged, and understand that pets in immediate medical danger will be attended to first.
Give accurate and relevant information regarding my pet(s) and actively participate in my pet’s care and take responsibility for my decisions.
Ensure my pet’s Rabies vaccination(s) is/are up-to-date. Technician services will not be performed on pets with an expired Rabies vaccine and we may be unable to provide further medical care until the Rabies vaccine is up-to-date.
Make sure I understand the information I am given.
Follow the treatment plan for my pet(s).
Pay for services that I consent to.
Make sure that the person bringing my pet(s) to an appointment, if I am unable to bring them myself, will relay information correctly.
Arrive on time and understand that if I am late, my appointment may be rescheduled or a late fee may apply. I also have the responsibility to provide 24 hours’ notice to cancel or reschedule and understand that missed or late-notice cancellations may result in a fee due at my next visit.
As a client at PWAY, I have the right to:
Be treated fairly and respectfully by staff and by other clients.
Have my pet’s and my own private information protected under the Personal Information Protection and Electronic Documents Act (PIPEDA).
Request a cost estimate before any treatment or diagnostics are done for my pet(s).
Receive a copy of my pet’s medical records upon request. I understand that if the records are sent to my regular or another veterinarian for continued care, my file will be inactivated and I will no longer receive reminders or correspondence.
See all X-ray and ultrasound images of my pet(s).
Ask and receive answers for any questions I might have.
Seek a second opinion if I am not comfortable with the medical advice given to me.
Receive referral to a relevant veterinary specialist if I want my pet(s) to receive specialized care for their problem or diagnosis.
By continuing and completing the following form, I acknowledge that I have read, understood, and agree to the Rights and Responsibilities set out above.