New Client Form

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If you are not a client at Bayside Veterinary Care, please send your pet’s previous medical history to reception@baysidevetcare.com and complete the forms below. Appointments will not be held unless we receive records and completed forms.

Thank you for choosing Bayside Veterinary Care! Please view our Welcome Letter here!

Name(Required)

First Last

Spouse / Other Name

First Last

Address(Required)

Street Address City State ZIP Code

Email(Required)

Enter Email Confirm Email

Primary Phone(Required)

Alternate Phone

Referred by

Previous Veterinarian(s)

Number of Pets in Household(Required)

Is anyone in your household immuno-suppressed?(Required)

Yes

Emergency Contacts(Required)

Name and Relationship

Phone Number and Email

Should an emergency arise and we are unable to contact you, please list two people that we may contact whom you authorize to make medical decisions for any of your pets. Click the plus icon to add more than one.

Pets(Required)

Pet Name

Pet Age / Date of Birth

Pet Breed and Color

Female/Male, Spayed/Neutered

Click the plus icon to add more than one.

Do any of your listed pets have known adverse reactions to medications or vaccines? (include name)

Do any of your listed pets have significant medical history or prior hospitalizations? (include name)

Consent for Care(Required)

I have read and understand the below information. I acknowledge that my questions, if any, have been answered to my satisfaction. I also agree that this consent applies to all of my current and future pets.

Bayside Veterinary Care Inc., does not bill for services. Payment in full is due at time of service. Deposits may, at times, be required prior to care being administered or visits being scheduled. We accept checks, cash, Visa, MasterCard, AMEX, debit cards and Care Credit. By using a check for payment, you agree to the following terms: If your check is not honored or returned for any reason, you authorize us to electronically (or by paper draft) re-present the check to your bank account for collection of the amount of the check, plus any applicable fees as permitted by the state law.

Once your appointment is scheduled, we have reserved the time especially for you. Should you need to cancel or reschedule an appointment, we require at least 24 hours' advance notice. Missed appointments with the doctor with no advance notice or less than 24 hours' notice will incur a $50 charge. Missed surgical appointments with no advance notice or less than 24 hours' notice will incur a $200 charge. If you are more than 10 minutes late to your scheduled appointment, your appointment must be cancelled and rescheduled.

Any account with an outstanding balance will be ineligible for services until the account is paid in full. Invoices that are outstanding for more than 7 days will be considered delinquent and will be submitted to a collection agency.

Should you choose to obtain pet insurance for your family, the owner/legal agent is directly responsible for the medical charges and can later be reimbursed by the insurance company. Only employees of Bayside Veterinary Care may hold pets for exams and treatments. For new patients, all patient records from previous veterinarians, rescue groups, and breeders must be received by Bayside Veterinary Care five days prior to first appointment or the appointment may be rescheduled.

Bayside Veterinary Care, Inc. is not an emergency service. If transport to a 24 hour emergency hospital is delayed for any reason, during which time the patient’s condition worsens, this decision is the responsibility of the owner/legal agent. Should your pet require transportation to an emergency hospital, s/he must travel with the owner/legal agent.

Fear Free Acknowledgement(Required)

I have read the information above regarding Fear Free policies at Bayside and agree to adhere to them.

Bayside is proud to provide Fear Free veterinary care. It is important to us to care for your pet’s emotional well-being as well as his or her physical well-being. We ask that you work with us to provide the most stress-free care possible for your pet. Starting before you even leave the house, there are ways that you can prepare your pet for a relaxing and productive visit. Ask us how!

How do we help your pet have a Fear-Free visit?

- We limit wait times in the lobby and allow pets the time they need in the room to acclimate.
- We maintain a quiet, clean environment with flooring substrates that are meant to prevent slipping or confusing glares.
- There are pheromones in the air that send calming chemical signals to your pet.
- We never use force to examine or treat any pet.
- We will use treats, toys, and Fear Free techniques to care for your pet.

How do you help your pet have a Fear-Free visit?

- Bring your pet’s favorite toys and treats with you.
- Let us know how your pet does during the car ride, when entering the exam room, whether he or she is comfortable around other pets or new people, if there are any areas on his or her body that are sensitive, or if certain noises are frightening.
- We may prescribe medications for you to administer the day before and the day of your visit to help reduce your pet’s fear and anxiety. Giving these medications at the times and doses prescribed is an essential part of a Fear Free visit. Let us know if your pet has been prescribed pre-visit medications previously.
- Arrive on time and allow for extra time during your visit. This flexibility in your schedule will allow us to give your pet time to make positive associations and good memories which will help their comfort and confidence for future visits.
- Bring your pet hungry so that we can use treats and disnacktions to facilitate their care.
- For highly fearful or reactive pets, or in situations where your pet may be painful, we may add injectable medications when you arrive.
- If we have prescribed a pre-visit pharmaceutical protocol for your pet, it is mandatory that your pet follow that plan. We will not see your pet if you have not followed the directions. It would be counter-productive and undo any progress to allow your pet to have a stressful visit.

Hospital Policies Agreement(Required)

I have read and understand the above information. I acknowledge that my questions, if any, have been answered to my satisfaction. I also agree that this consent applies to all of my current and future pets.

Leashes and Carriers
All pets coming into the building must be on a leash or in a carrier. If your pet is on a retractable leash, we may kindly ask you to use a slip lead for safety purposes. This is imperative for the safety of both pets and people.

Appointment Capacities
We are currently allowing one (1) person per household into the exam rooms for doctor appointments. For euthanasia appointments, two (2) people per household are allowed in the exam room.

Late and Missed Appointments
Once your appointment is scheduled, we have reserved the time especially for you. Should you need to cancel or reschedule your appointment, we require at least 24 hours’ advance notice. Appointments missed with no advance notice or less than 24 hours’ notice will incur at minimum a $50 charge for Doctor appointments, and a $35 charge for Technician appointments. If you are more than 10 minutes late for your appointment, you may be asked to reschedule your appointment.

Written Prescriptions Fee
Bayside Veterinary Care works solely with one online pharmacy; Vetsource. If you would like a writen prescription to get your pet’s medication from somewhere other than Vetsource or Bayside, there will be a $10 fee. You must give us a five-day lead time to write that prescription for you. We will call you when it is ready to be picked up. If your pet needs a medication that Bayside or Vetsource does not carry, or if you request a written script at the time of an appointment with the doctor, there will be no fee. Our practice page can be found at Vetsource.com. Vetsource often has ongoing discounts, so please look for those in your email or reach out to us and we will provide you with one.

Urgent Refill Fee
Urgent medication refill requests that are requested for the same day are subject to a $5 urgent refill fee.

Pre-Visit Pharmaceuticals
As part of our Fear-Free approach to pet care, a doctor may recommend that your pet have medications the night before and on the day of a vet visit. We do not use these medications to make our job easier. These medications are designed to help prevent your pet from forming fear-memories during vet visits which then make future visits more frightening. These medications are safe and provide short-term anxiety relief without heavy sedation. We can better assess and treat pets who are relaxed during visits. And equally important, your pet will not be scared and anxious about vet visits. More information about Fear Free practice is available on our website.

Payment is Due at the Time of Service
Bayside Veterinary Care Inc. does not bill for services. Payment in full is due at the time of service. Deposits may, at times, be required prior to care being administered or visits being scheduled. We accept checks, cash, Visa, MasterCard, AMEX, debit cards and Care Credit. If you have an outstanding balance on your account, you will not be able to schedule appointments, get medication refills, or obtain copies of your pet's records. If you have a due balance on your account over seven (7) days old, we may inactivate your account.

Photo Consent(Required)

I agree

I disagree

I hereby give Bayside Veterinary Care, Inc. permission to use my pet’s likeness in photography for publications, promotional purposes, social media, website, media press releases and coverage, and any other such purpose on behalf of Bayside Veterinary Care. I understand that neither I, nor my pet, will receive compensation for the use of this likeness in any form.

E-Signature(Required)

Date(Required)

I will not hold BVC, Inc. responsible for any errors or omission that I have made on this form.

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