Patient Admit

Medical Consent: I consent to the provision of medical services for my animal at Timberline Veterinary Emergency and Specialty (TVES). The diagnostic and therapeutic plans will be discussed with me along with any risks and costs. I understand that no guarantee has been made as to the result or cure. I agree to be reachable at all times during my pet’s hospitalization for consultation with my pet’s doctor(s). I understand that the staff will keep me informed of and receive my consent for recommended additional diagnostics and therapeutics along with the associated costs. In the event I cannot be reached, I authorize the doctors and staff to perform any procedures necessary for my pet’s wellbeing. I authorize TVES to release my pet to Animal Control if I abandon my pet and cannot be reached for a period of 48 hours. *

Financial Consent: Doctor exam fee is due at the time of service – Emergency Room Visit: $220.00. Specialty Department Consultation Appointment: $235.00. I understand that the doctor will prepare an estimate for diagnostics and treatments for my pet based upon the initial examination. I understand that this is an estimate and the final charges may change as further diagnostics and treatments dictate. I assume financial responsibility for all charges incurred to my pet and agree to pay 100% of the low-end of the estimated cost at the time of admission. Additional deposits will be required if additional care or procedures are needed. Final fees may vary considerably from this estimate. I understand that every effort will be made to keep me informed of the current status of my bill throughout my patient’s hospitalization. I understand that no guarantee of successful treatment is made. I am obligated to meet any financial commitments made. In the event of a check returned NSF or stop payment, a $30 fee will be added to the account. A service charge of 1.5% per month (18% per annum) is applied to all balances due over 30 days. A billing charge or $2.50 is applied to all balances over 30 days. Should it become necessary to bring collection proceedings against me, I agree to pay the past due balance as well as reasonable and customary expenses incurred in the collection process, including, but not limited to, collection agency fees, attorney fees as awarded by the court, and court costs. I understand that hospital credit or payment plan is not available, and I agree to pay the balance of all charges in full at discharge. *

Opt In for Messaging: I consent to receive SMS text messages from us. Not all carriers are covered. Standard message and data rates apply and may vary. You may update your preference, and cancel your consent, by notifying us at any time or by replying CANCEL/STOP to any messages you receive from us. *

Media and Teaching: Timberline Veterinary may take photos of my pet and I authorize their use for digital/social media, potential website inclusion and for teaching purposes. *

Cardiopulmonary Resuscitation: Cardiopulmonary resuscitation (CPR) is an emergency procedure used if your pet’s heart or breathing stops. It may include chest compressions, assisted breathing, emergency medications, and other lifesaving measures. We request your CPR preference at admission so our medical team knows whether you would like us to attempt resuscitation and can act immediately in the event of an emergency. In the event that cardiopulmonary resuscitation is required for my pet, I authorize *