For the Following Symptoms or clinical signs, please indicate whether you think it is - normal, increased, decreased, none, other issue.
Please check all that apply to your pet
Consent for Acupuncture Procedure(s), Package and/or Treatment
I authorize Treehouse Animal Clinic’s (also referred to as “TAC”) veterinary staff to perform Acupuncture and Acupuncture related medical procedure(s) and/or treatment(s) on my pet. I acknowledge and understand that unknown and unanticipated risks and complications could arise from the acupuncture session and that will not relieve me of any obligation to all reasonable costs incurred regarding my pet. I indicate with my signature my consent to the Acupuncture procedure(s), that all questions have been answered to my full satisfaction and that I understand any risk associated with my pet’s procedure(s).
ADDITIONAL SERVICES: We will not offer any additional services while pets are here for their acupuncture session in order to create a positive environment and experience.
PAYMENT DUE AT TIME OF SERVICE: We accept American Express, Visa, Mastercard, Discover, Debit, Cash or Check only. We do not accept Care Credit or Payment Plans.