Telemedicine Consent Form
Consent for virtual veterinary care
01
Client & patient
02
How virtual visits happen
03
What telemedicine can and cannot do
I understand that during a virtual visit the veterinarian cannot physically examine my pet, take its temperature, listen to its heart and lungs, or run tests. Advice is based on what I describe and what can be seen. The veterinarian may recommend an in-person visit before giving a diagnosis or prescribing medication, as required by law and good practice.
Not for emergenciesIf your pet has trouble breathing, collapses, has a seizure, is bleeding heavily, or has eaten something toxic, go to the nearest emergency clinic right away instead of booking a virtual visit.
04
Privacy & records
Virtual visits become part of my pet’s medical record. Photos, videos, and messages I send may be saved to that record. I will take the call somewhere private and understand that no internet service is completely secure.
05
Fees
Please initial each statement
- I have read and understood the limits of telemedicine described above.
- I agree to bring my pet in for an in-person exam if the veterinarian recommends it.
Owner / authorized agent signature