Active Puppy Wellness Package Consent Form

I, , the legal owner and guardian of understand that the Active Puppy Wellness Package includes the following items:

Rabies Vaccine
Distemper Parvo Vaccine
Leptospirosis Vaccine
CIV Vaccine
Bordetella Vaccine
Lyme Vaccine
Rattlesnake Vaccine
(2) Pyrantel Dewormings
(2) Fecal Tests
Heartworm Test
Unlimited exams/office calls until one year of age
20% Discount on the cost of the Spay/Neuter
All vaccines listed above also include an appropriate number of boosters as determined by your veterinarian.

Furthermore, I understand the following conditions of purchase of this package in relation to the patient listed above:

I can purchase the package up to seven days after their first visit to have the covered services credited toward the purchase of the package.
This package is non-transferable between pets, but can be transferred to a new owner.
The refund policy to be applied only after full retail value for services rendered have been applied and can only be done within seven days of purchase.
The 20% discount on spay/neuter (1) does not include blood work or medications to go home and (2) must be completed before he/she turns one year old.
If I fail to bring him/her for any necessary booster vaccine(s) within the appropriate time frame of 4 weeks, I understand that it is my responsibility to pay the full retail price for any additional vaccine(s) he/she may require.
The Active Puppy Wellness Package is valid until he/she turns one year old, at which time it expires and it is not the responsibility of the veterinary clinic to notify me that it has or will expire.
This package does not include any items that are not listed above. Items not included in the package are additional tests, medications, nail trims, anal gland expressions, or preventative care such as heartworm or flea prevention that may be recommended by the veterinarian for your pet.

Please sign here: