Welcome to Virginia Pet Care !! Now with Pet Nurses, Walkers, Sitters, and Veterinary Students!

Allergies: ___________________Surgeries: ____________________Treatment: _________________

Restrictions: __________________________________________________________________________

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Pet 2: ___________Breed____________ DOB:______________ Male / Female? Spayed / Neutered?

Contract for Services

I, ____________________, understand that VAPC and Pet Nursing, LLC will be proving home pet care to ______________Pet's Name, _______________additional Pets: ___________________,__________________,__________________and ________________.

VAPC, Veterinary Students , Pet Nurses and pet sitters are not licensed Veterinarians, or Technicians, or working for any particular DVM or other firm at this time.

Veterinary Students are sharing their experience and knowledge base for my pets as suggestions for better care. These are areas and skills that  I understand are not to be substituted for Veterinary Office visits.

 I herby submit consent for VAPC and Pet Nursing, LLC to confer with my pet’s other care providers, doctors, etc.  

Providers include but are not limited to  _______________________________________________________________________________________

VAPC and Pet Nursing, LLC  agrees to provide services in a reliable and trustworthy manner at times as requested by myself, in either an oral (i.e., by telephone, text) or in written manner to the business office. Any requests and changes (including information on the Pet and Client Profile forms) not reported to and confirmed by the Provider, its' walkers, associates or employees will not be held liable for any claims or damages. I agree to provide, and wish to have used, my own devices, leashes, collars, supplies for my pet's care, etc and hold harmless VAPC and or Pet Nursing, LLC  for problems arrising by my items and assume responsibility for my pets actions.

If Applicable: caregivers may take my pets on outings, Car-rides, Dog parks, Pet Stores, Vet appointments, Groomer appointments, Socialization, Obediences training, etc, and all below on my behalf:

_______________________________________      ______________________________________

(Initial_______)

Condition of Pet
Vaccine records will be submitted to VAPC and Pet Nursing, LLC and caregivers also have been notified of condition of my animal(s) before and during service. I agree to have my pets properly immunized against all contagious diseases, parasites, etc in order to not contaminate others. Bordetella, Rabies, Distemper (DHPLP) Feline Distemper, Feline Rabies, Feline Leukemia, FVRCP, are required for all clients pets. Case by Case  based care situations will be considered. Heartworm tests, fecal exam (cats and dogs), FIP, FIV and Feline Leukemia testing must be performed on schedule. 
Providers may also take my pet (with permission) to a local DVM for these services and I will be responsible for payment of charges incurred. I agree now to pay the veterinarian and have the charge on my own personal Veterinary Account therein.

(Initial_______)

Payment for Services
I have been advised by VAPC and Pet Nursing, LLC and caregivers  of  fees for rendered services and I agree that I am fully responsible for payment due in full at the conclusion of each appointment. Arrangements can be weekly, bi-weekly and monthly. I hereby authorize Veterinary Students to Charge

_________for walks, _________for visits, _________ for medication administration,

________for nail clipping, ________for bathing, ________for waste removal,

__________for Taxi Service, _________Overnights, _________Holiday Service, __________

Weekend Sevice, and ________________Service, _________________Service, __________ ________Service. 

VAPC, Veterinary Students and ePicture Pet Sitting will not proceed with caring for my pet with out payment first. Payments are to be made the same day of service.

FOR WEEKLY SERVICES: Mondays are when weekly acounts are due. I also agree that all cost, including emergency and/or medical costs, medication costs and food costs, incurred by caregivers during the care of my pet is my responsibility and I will reimburse forVAPC and Pet Nursing, LLC and caregivers said costs. (Initial ______)

PRE PAID MONTHLY SEVICE:   (M-F single dog walks/visits $250 package, in Annandale only)
If I elect to be a Pre-Paid Monthly client, or agree to a monthly service agreement payable by the first of each month, I agree and understand that I am responsible for an entire month’s payment for services unless cancellation.
Please give at least 24 hours notice, exceptions will be given in case of emergency, or contagious illness. (in which case, warn us away  :)
 I understand that it is my responsibility to notify the office if pet(s) will not be home. Pre-Paid Monthly contracted service does not include the following holidays: New Year’s Eve, New Year’s Day, Easter, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Christmas Eve and Christmas Day.VAPC and Pet Nursing, LLC and caregivers will not provide services on these days unless asked to do so and specifically, booked and confirmed in advance. I understand that caregivers follow the Federal Government’s Inclement Weather Policy (Initial______)

Medical Authorization/Power of Attorney (we WILL attempt to reach you FIRST)
As the owner of the pet/animal, I hereby grant VAPC, Pet Nursing, LLC Power of Attorney of-named pet(s) IF I MAY NOT BE ABLE TO BE REACHED. This power and authority shall extend to and include the authority to make decisions with respect to the feeding, and sheltering of the above referenced animal(s); the authority to seek appropriate medical treatment or attention on behalf of the above referenced animal(s) as may be required, including but not limited to, veterinary, and/or emergency care; and the power to authorize medical treatment and/or procedures in the course of any veterinary and/or emergency care. If I should not return they will continue service and assume all property to secure my pet and it's future care.
This power and authority also includes authorization to place any charges incurred by the above itemized care by any veterinary doctor and/or clinic, emergency animal clinic and/or other care giver, in the course of any necessary treatment, to be placed on my account which will be paid upon my return, or, in the event an account cannot be established, I understand Veterinary Students and ePicture Pet Sitting will pay a maximum of $200.00 to begin veterinary treatment and will demand the best comprehensive veterinary diagnostics, treatment on my behalf. Additionally if the Vet even mentions there might be a reason to perform a procedure I agree to fully reimburse  VAPC and Pet Nursing, LLC and caregivers for all necessary charges incurred in the care of the above referenced animal(s) in the acknowledgment that I am solely responsible for the payment of all necessary costs incurred with respect to the care of the above referenced animal(s). (Initial_______)
 

Key Release
I hereby authorize a representative of VAPC and Pet Nursing, LLC and caregivers to use my house key(s) during the time she/he will be caring for / visiting my pets. I understand that it is my responsibility to provide two (2) working sets of duplicate house keys and any applicable alarm information. (Initial_______)