Vet Consent Form

In order for an animal to undergo physiotherapy treatment or to have an assessment veterinary consent must be obtained in order to ensure that treatment is safe for your client.  After treatment reports will be sent back to your vet.  Please find a link to the form below: 

https://docs.google.com/document/d/1tBxp_Ljv67lhXuh1x83K_xuKPA_d0bmp9t7fSUyOjpc/edit?usp=sharing

or online form https://docs.google.com/forms/d/1-t7ckrL2JqUtfbUalBTma7j2RGlpjjUGJFqjdGaMIwY/edit?usp=sharing

 

Please return all completed forms to zoehindle@googlemail.com before your appointment.  

Zoe Hindle (PgDip Veterinary physiotherapy and NAVP member)

61 Ings Way East

Lepton

Huddersfield

HD8 0DX

07531161608

zoehindle@googlemail.com



 

Veterinary Consent form  

 

Owner name:

 

Address:





 

Tel:

 

Email:

 

Patient name:

 

Species:

 

Breed:

 

Age:

 

Sex:

 


 

Vet Name:

Vet Email:

 

Practice name and Address:





 

Relevant medical history/ presenting complaint:





 

I confirm that the above client has been given veterinary consent to undergo veterinary physiotherapy and massage therapy.  I understand that the therapist may refer back to the vet and give permission for the therapist to send reports back to the vet and to terms and conditions.  Signed client:

Signed vet:

Date:

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Terms and conditions

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61 Ings Way East

Lepton

Huddersfield

West Yorkshire

HD8 0DX

07531161608

zoehindle@googlemail.com

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