Traditional Chinese Veterinary Medicine
Nutrition and Supplements
Patient History Form
Client Acceptance Form
Veterinary Referral Form
The below form is to be filled out by the person responsible for the care of the cat or dog.
Client Acceptance Form
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We are honored that you have chosen to trust us with the care of your animal. As you are likely aware, our practice is rather unique: We offer treatment modalities that include acupuncture, chiropractic, herbal medications, supplements, cold laser therapy, and nutritional counseling. We emphasize these forms of treatment because we believe they provide the most effective way to deal with a wide variety of health problems that animals face by providing the body with the tools it needs to heal itself rather than masking the symptoms of disease.
By practicing holistic medicine, we will use the most appropriate modality of medicine your animal needs at that specific point in time. We believe that these alternative therapies or a combination thereof can be used to treat the same broad range of problems that are conventionally treated with drugs. This is a very successful approach. Yet if we determine that your animal would benefit from pharmaceuticals, surgery, or any other form of conventional treatment, we will not hesitate to recommend such methods.
After all there is no “right” or “wrong” medicine; the key is finding how to best support your animal’s long-term health with success.
Holistic medicine includes many different modalities to encourage healing.
As with any treatment, each pet may respond differently and results may vary between patients.
It is important, as we start working together, that you understand we are going to use alternative medicine with a holistic approach in the treatment of your animal. If we believe that for the well-being of your pet you should receive care from another practitioner or would benefit from further diagnostics (such as radiographs or ultrasound), we will refer you for this care rather than provide it ourselves.
We are committed to meeting your expectations of complete holistic health for your pet. In turn, we request your commitment to our treatment plan.
Holistic care is most effective when the pet owner is an active participant in the healing process. The best way to contribute is to keep a close eye on the moods, behaviors and movements of your pet in the days and weeks following an appointment. Many pet owners find it helpful to keep a notepad or journal close by so they can record observations and rate symptoms and improvements. Holistic treatments gradually bring the animal’s body back into balance, so even subtle signs of changes – positive or negative – can be meaningful to your holistic doctor.
By submitting this form, I confirm that I have read
the above explanation concerning the type of care my animal will be receiving from Holistic Veterinary Care and I agree this is what I want for my animal.
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