Free Veterinary Clinic Agreement Template
Veterinary Clinic Agreement
This Agreement is made and entered into as of this [Month Day, Year], by and between [Your Company Name], a veterinary clinic located at [Your Company Address], hereinafter referred to as the “Clinic”, and [Client Name] an individual with its primary residence located at [Client Address], hereinafter referred to as the “Client”. This Agreement outlines the responsibilities, terms, and conditions under which the Clinic agrees to provide veterinary services for the Client’s pet(s).
I. Services Provided
-
Routine Check-ups and Preventative Care: The Clinic agrees to provide routine health examinations to monitor and maintain the pet’s overall health. This includes vaccinations, annual check-ups, and preventative treatments designed to prevent illness and promote wellness.
-
Diagnostics and Testing Services: The Clinic offers a range of diagnostic services, including laboratory testing, radiology, and ultrasound to accurately diagnose any health conditions affecting the pet. These diagnostics aid in early detection and effective treatment.
-
Surgical Procedures: When surgery is required, the Clinic provides pre-operative and post-operative care for procedures such as spaying, neutering, and emergency surgeries. All surgical services are performed by licensed veterinarians in a sterile environment to ensure the safety of the pet.
-
Emergency Care: The Clinic provides emergency services during clinic hours and ensures prompt attention for acute health conditions. After-hours care may be provided by affiliated emergency centers.
-
Dental Care: Dental cleaning, examinations, and procedures to manage the pet’s oral health are included in the services. Dental care aims to prevent health issues caused by poor oral hygiene.
-
Specialty Services: Additional services, such as nutritional counseling and behavioral consultations, may be available and are offered as part of a holistic approach to the pet’s well-being.
II. Payment Terms
-
Fee Structure: The Client agrees to pay fees for all services rendered according to the Clinic’s standard fee schedule, which may be reviewed and updated annually. The Clinic will inform the Client of any price adjustments.
-
Estimates for Services: An estimate will be provided upon request for all planned procedures. The Client understands that this is an estimated cost and the final amount may vary depending on the pet’s specific needs during treatment.
-
Payment Due at Time of Service: Payment is expected at the time of service unless prior arrangements have been made with the Clinic. Accepted payment methods include cash, debit/credit cards, and approved financing options, if available.
-
Late Payments and Collections: Any balance unpaid within thirty (30) days of the service date may be subject to late fees. In the event of non-payment, the Clinic reserves the right to employ a collections agency and the Client may be responsible for any associated fees.
III. Client Responsibilities
-
Disclosure of Medical History and Conditions: The Client agrees to provide complete and accurate information regarding the pet’s past and current health status, including any known medical conditions or medications. This allows the Clinic to provide the best possible care.
-
Compliance with Care Instructions: Following each visit, the Client agrees to adhere to all care instructions provided by the Clinic for the pet’s recovery or ongoing health. This includes attending follow-up appointments as needed.
-
Update of Contact Information and Health Changes: The Client agrees to promptly update the Clinic with any changes in contact information or in the pet’s health that may impact treatment.
IV. Treatment Authorization
-
General Consent for Treatment: The Client provides consent for the Clinic’s licensed veterinarians to administer all necessary examinations, tests, treatments, and procedures to maintain the pet’s health.
-
Approval for Additional Treatments: If, during treatment, additional services or procedures are recommended, the Clinic will make every reasonable effort to contact the Client for consent. If unreachable, the Clinic may perform emergency procedures to safeguard the pet’s health.
V. Return or Destruction of Information
-
No Guarantee of Treatment Outcomes: The Clinic aims to provide the highest standard of care but cannot guarantee specific outcomes or success rates for treatments due to the variability in each pet’s health.
-
Limited Liability: The Clinic’s liability in connection with this Agreement is limited to the amount paid for the specific services performed. The Clinic is not liable for complications, risks, or outcomes that are inherent to veterinary care.
VI. Termination
-
Termination by Client: The Client may terminate this Agreement at any time, provided all outstanding balances are paid. Services may be resumed upon signing a new Agreement and payment of any outstanding fees.
-
Termination by Clinic: The Clinic reserves the right to terminate this Agreement in the event of non-compliance with the terms, disruptive behavior, or unpaid balances. Written notice will be provided to the Client in such cases.
VII. Governing Law
This Agreement shall be governed and interpreted in accordance with the laws of the state in which the Clinic operates. In the event of a dispute, both parties agree to seek resolution through mediation before pursuing legal action.
VIII. Entire Agreement
This Agreement constitutes the full understanding between the Client and the Clinic, superseding any previous agreements or discussions. Any amendments must be in writing and mutually signed.
By signing below, the Client acknowledges that they have read, understood, and agree to abide by the terms of this Agreement.
Clinic Signature:
[Your Name]
[Job Title]
[Your Company Name]
[Month Day, Year]
Client Signature:
[Client Name]
[Month Day, Year]