Page 66 - Executive Director

As an authorized representative of the __________________________ organization, I
understand that my signature on this form acknowledges that I understand and agree to the
following set forth by Legacy Veterinary Hospital.

The following is for pets NOT awaiting adoption in our hospital.
 Exam fees for Regular/Emergency/Urgent Care/After-
Hours applies just as with our other patients.
 Standard hospital vaccination policies apply.
 All forms and signatures will be required at check-in as
with our other patients/clients.
 Payment is required at the time of service – we can

have a credit card on file.
 We may need to limit the number of patients that we

can treat depending on the hospital space and/or doctor’s availability.
 Stable or routine procedures will be reserved for the
time available AFTER our conventional clients/patients are communicated with and
cared for.
 Sick and injured patients will be triaged as the doctor

deems appropriate.
 Rescues must submit a current 501 (c) 3.
 No discounts will be given for grooming, boarding,
food, retail products, or baths.
 Any patient admitted with fleas or ticks WILL BE
TREATED at the organization’s expense.
 We require proof of a recent fecal and heartworm

test, otherwise one will be performed at the organization’s expense.
 We will not perform elective surgeries on ill patients.

Pricing for Rescue Organizations is as follows: (subject to change without notice)

All Exams 20% discount
Vaccinations 20% discount
Labwork 20% discount
Spay/Neuter / Dentals 20% discount

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