Phone: (775) 738-6116
1052 Colt Drive, Elko, NV 89801

Book Appointment

Home
About Us
Services
Online Pharmacy
Client Center
Join Our Team
Contact Us
Book Appointment

Home
About Us
Services
Online Pharmacy
Client Center
Join Our Team
Contact Us
Book Appointment

Online Forms

General
Consent Form

Save time during appointment! Complete your required general consent form online from any device at any time before your visit.

a person sitting at a desk looking at a computer

General Consent Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Contact Information

Name *

First

Last

Phone *

Secondary Phone *

Email *

Name of Patient *

Admit For *

When was the pet's last meal?

Is your pet on any medications? *

Yes
No

If yes, what medications and when were they last given? *

If your pet was hospitalized the day before, how did they do at home (example: stool, urine, vomit, attitude)?

Please select any/all that you would like us to provide while your pet is sedated

Implant Microchip
Nail Trim
Clean Ears
Express Anal Glands
Sanitary Clip (rectum, genitals)
Remove Lumps (specify location of lumps below)
Other

Please specify other service *

Authorization

CPR consent *

I DO want CPR performed on my pet if my pet goes into respiratory or cardiac arrest.
I DO NOT want CPR performed on my pet if my pet goes into respiratory or cardiac arrest.

I authorize anesthesia/sedation for my pet. The nature and risks of this procedure have been explained to me. I understand some risks always exist with anesthesia and/or sedation, and I am encouraged to discuss any concerns I have about those risks with my veterinarian before the procedure(s) are initiated. My signature on this consent form indicates that any questions have been answered to my satisfaction. *

I have read, understand, and authorize

I authorize Elko Veterinary Clinic to perform any additional diagnostic, treatment, or surgical procedure(s) deemed necessary for medical complications or otherwise unforseen circumstances. I understand there are rare complications associated with any anesthetic procedure. No warranty or guarantee has been given to me as to the results or cure afforded by these treatments or procedures. I fully understand these risks and understand the veterinarians and clinic staff will try to minimize such risks. I will not hold Elko Veterinary Clinic, the veterinarians, or any staff member liable for any complications that may arise. *

I have read, understand, and authorize

Payment due upon services rendered. *

I have read, understand, and agree.

Client Signature *

Clear Signature

Date *

Website

a dog lying

Online Pharmacy

Our veterinary hospital has a fully-stocked pharmacy. Shop our online pharmacy for pet meds, flea & tick treatment, healthy dog and cat food, pet treats, and more.

$Learn More

Get Our Mobile App

Manage your pet’s health faster and easier with our PetDesk Mobile App, now available for iPhone or Android.

Download on the App Store

Get it on Google Play

$Get the App

Receive Automatic Reminders

Request Appointments 24/7

Your Pet's Organizer App

Save Notes, Pics & Much More

Questions?

Get in touch! We look forward to hearing from you.



Address

1052 Colt Dr.
Elko, NV 89801



Contact

Phone: (775) 738-6116
Fax: (775) 778-9209
Email: info@elkovet.com



Hours

Mon, Weds, Thurs, Fri: 7:00am – 6:00pm
Tues: 8:00am – 6:00pm
Sat: 8:00am – 5:00pm
Sun: 9:00am – 5:00pm

Contact Us

Have a question? Complete this form to get in touch.

Name *

First

Last

Email *

Phone

How can we help you? *

Comment

© 2024 Elko Veterinary Clinic | Powered by WhiskerCloud | Privacy Policy | Accessibility Statement