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Operating Hours Disclosure

Note: All necessary forms and records are required prior to your visit

Code of Virginia

§ 54.1-3806.1. Disclosure forms required. Any animal medical care facility in the Commonwealth, excluding those facilities dealing with livestock, as defined in § 3.796.66, which does not provide continuous medical care for all animals left in its charge shall, before taking charge of an animal, provide the client or agent thereof with a disclosure form which specifies the hours and days when continuous medical care is not available at the facility. Except in emergency situations when time or circumstances do not permit, such facilities may take charge of an animal only after the client or agent thereof has signed the disclosure form and returned it to the facility. Signed disclosure forms shall be kept on file by all such facilities.

Virginia Veterinary Disclosure Form

(Please read carefully before signing)

Quioccasin Veterinary Hospital has business and medical staffing hours as follows:

Monday – Friday: 8:00am – 6:00pm

Saturday: 8:00am – 12:00pm

Sunday: Closed

Our hospital may also experience shortened hours or be closed on major holidays.

Continuous staffing is not provided during the hours this facility is closed.

Patients requiring continuous monitoring and medication treatment (i.e., intensive care) at times of non-continuous staffing by this facility can be transferred by the owner or their legal agent to a licensed veterinary emergency and medical center, where after hours staffing is provided. Any expenses incurred at that hospital will be the responsibility of the owner.

Client Name(Required)

Date(Required)

Email Address(Required)

Phone Number(Required)

I have read this form and I am aware of Quioccasin Veterinary Hospital’s staffing hours.

Signature of Acknowledgement

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