VIRGINIA VETERINARY DISCLOSURE

VIRGINIA VETERINARY DISCLOSURE FORM

Virginia Veterinary Disclosure Form

Please read carefully before signing.

Brandon Animal Hospital has business and medical staffing hours as follows:
1. Weekdays, Monday through Friday 8 AM to 6 PM and
2. Saturday, 8 AM to 12 Noon
Brandon Animal Hospital is closed on Sundays and Holidays.

Therefore, this is to inform you, that Brandon Animal Hospital has no in-house, on-duty, continuous medical staff care:
1. Weekday overnights, from close-of-business at 6 PM until 8 AM;
2. Weekend overnights, from close-of-business at 12 noon on Saturday until Monday at 8 AM;
3. Holidays, from close-of-business the day before the holiday until 8 AM the following day.
Any further or unforeseen closures will be publicly announced or posted.

I (the client of Brandon Animal Hospital) have read this form and am aware of the above staffing hours. *

Yes, I have read and understand.

* Indicates required field

DIGITAL SIGNATURE *

First

Last

DATE *

BY DIGITALLY SIGNING THIS VIRGINIA VETERINARY DISCLOSURE FORM AND CLICKING SUBMIT THE CLIENT AGREES THAT HE/SHE HAS READ AND UNDERSTANDS ALL OF THE ABOVE INFORMATION.

Email *

Phone Number *

I have read and understand.