westonvet / New Clients

New Client Check-In

If you would like to make an appointment, you can assist us to expedite your check-in by reading the following Cancellation Policy and Release Form then submitting online this New Client Registration Form andQuestionnaire. We will contact you to make an appointment. Or you can contact us for an appointment (816) 640-3155, fill out the Questionnaire and Release Form and bring them to your first appointment. The first examination/consultation is 60 minutes in length and is a fee of $120.00. The doctor will go over medical history provided, diet, medication, supplements, behavior and will do a physical exam including tongue and pulse diagnosis.

Please print out the Welcome Letter to assist you in preparing for your first appointment and read the Cancellation Policy carefully. Because the first appointment is a 60 minute block of time and we do not double book, we require a credit card to hold that appointment time. Thank you for your cooperation in letting us assist you.

Cancellation Policy

Dear Client,

Due to the time-consuming nature of the work that we do, it is imperative that our doctor is able to devote undivided attention to each patient during their appointments. We make efforts every day to keep our practice running on time and to avoid asking our clients to wait. We respect your time and we ask that you respect our time. Most doctors' offices double or triple book their doctors in order to remain efficient in spite of scheduling issues. Our practice is not in a position to schedule in this manner. The number of patients we can book in a day is limited. Since some days we experience a cancellation rate of 40% or more, we have had to adopt the following policy. We have tried to avoid being rigid or negative in any way, as it disrupts our own positive energy. It is with regret that we have had to establish this practice policy regarding cancellations and missed appointments.

1. We require at least 24 hour notice to reschedule or cancel an appointment. If an appointment is cancelled with less than the 24 hour notice, or if you fail to show up, you will be charged for that appointment.

2. Frequent cancellations will result in your being required to pay in advance for an appointment scheduled at our clinic.

3. Late arrivals will result in the appointment time being shortened by the amount of time that they arrive late. You will be charged for the full appointment.

As a courtesy to our clients and in an effort to reduce the number of cancellations and missed appointments, we try to place reminder calls the day prior to the appointment. Failure to receive a reminder call does not negate the 24 hour cancellation policy.

Thank you very much for your cooperation and consideration.

Dr. Linda Faris

I have read and agree to the terms of the cancellation policy.

Signature Date

Print Name

Release Form

Client name ______________________________________________________________________

Pet ______________ Age ____ Sex _____ Breed _________ Description _____________________

I do hereby certify I am the owner (or duly authorized agent for the owner) of the animal described, and I do hereby give the doctor, her agents, employees and representatives authority to perform a physical examination, to recommend and prescribe treatment options including complementary therapies such as, but not limited to acupuncture, chiropractic, homeopathic and herbal medicine. I understand I will have the opportunity to accept or decline treatment recommendations verbally at the time of examination. I understand that many of the treatments utilized in this practice are beyond the scope of traditional veterinary medical options, and are not considered standard of care in the veterinary industry. I further understand that no guarantee of outcome can be made about this or any other treatment option presented. I take full responsibility for the treatment options I accept for my pet, and I will not hold the doctors or the practice responsible for results or complications that might arise due to the treatments.

The purpose of this initial visit is to evaluate my pet for the following problems; ___________________ __________________________________________________________________________________

and to discuss a treatment program that may be useful to promote resolution of the symptoms listed, and/or to promote the overall health of the above described pet. This release will automatically serve as a release for any future examinations and/or treatments if I schedule additional appointments.

Payment Policy

I accept full responsibility for the fees generated by services I authorize. I understand all fees are due and payable at time of service, or at the time the animal is released from the hospital. Any exception to this policy must be authorized prior to the performance of any service. We accept cash, checks, Master Card and Visa, American Express, and Discover for your convenience.

Client signature _____________________________________________ Date ________________

__________ I have full authority to make medical & financial decisions regarding the treatment of this pet.

If not; __________________________________ should be contacted at; ph# ________________

Questions? ___________________ _______initial