Online Form

Alternative/holistic Medicine Release Form

To help us get to know you and your pets before your visit, please fill out this form as thoroughly and precisely as you can.

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Alternative Medicine Release Form

I am aware that the following complementary and alternative modalities to be used in the treatment of my animal(s) are not considered conventional veterinary medicine:

  • Acupuncture
  • Chinese Herbal therapy
  • Traditional Chinese Food therapy
  • I have read and fully understand this Client Consent Form.
  • I am the owner of, or the authorized agent of, the animal described above and I am of legal age (18 years or older)
  • I consent to the provision of the above listed complementary and alternative modalities for my animal by the above-mentioned doctor.