Vet Drop-Off Forms for Happy Valley Pets

Name*
First Last
Additional people who are legally allowed to make medical decisions for my pet (including dropping off and picking up)
First Last
Email*
Phone Number We Can Reach You At Today*
Patient's Name*
Why are you bringing your pet in today?*
I am the owner (or authorized agent of the owner of) of my Pet, and I am over the age of 18. I hereby authorize and direct Happy Valley Vet Hospital, its veterinarians, technicians, and assistants to perform services, procedures, diagnostics, vaccinations, treatments, and/ or administration of extra-label medications as deemed necessary or advisable in connection with or relating to the matters described in the attached estimate or the matters that have otherwise been explained by the Happy Valley Vet Hospital veterinarian.*
I have read and accept.
I understand that there is a risk of complications with every procedure, including the possibility of death as a severe complication of surgery, anesthesia, or other procedures. I also understand that there is no guarantee as to the results of any procedures, diagnostics, vaccinations, or treatments. I understand that I may ask any questions that I have regarding any procedure, diagnostic, vaccination, or treatment recommended by the Happy Valley Vet Hospital veterinarian before it is performed.*
I have read and accept.
I authorize Happy Valley Vet Hospital to obtain all medical records regarding my Pet.*
I have read and accept.
I understand that there may not be a veterinarian at the hospital at all times. I understand that veterinary technicians or assistants may perform certain functions in the preparation and care of my Pet even when a veterinarian is not present. I also understand that no staff will be present in the hospital overnight. Unless the veterinarian advises that my Pet may remain unattended in the hospital overnight, I will need to take my Pet home or transfer my Pet to a hospital offering overnight care at the end of the day. If I fail to pick up my Pet before the hospital closes for the day, Happy Valley Vet Hospital may transfer my Pet to a hospital offering overnight care if the veterinarian determines my Pet cannot be left unattended overnight. I understand and agree that I am responsible for the payment of any charges for such overnight care.*
I have read and accept.
I understand that hospital staff may walk my Pet outside.*
I have read and accept.
If I neglect to pick up my Pet within 7 days, The Hospital may assume that my Pet has been abandoned and is authorized to make such arrangements, as it may deem best.*
I have read and accept.
I understand that payment is due in full at the time services are rendered. If for any reason payment is not made at the time services are rendered or within 10 days thereafter, I understand that my account may be referred to a collection agency.*
I have read and accept.
We love posting pictures of our patients on our social media. Are we able to post pictures of your pet?*
- Yes
- No
Digital Signature*
Date*
MM slash DD slash YYYY
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

Contact Info

Phone: 503-395-1649
Fax: 503-308-6919

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Hours

Monday-Friday: 8:00am – 6:00pm
Saturday-Sunday: Closed

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Location

15957 SE Happy Valley Town Center Dr.
Happy Valley, OR 97086

We are located next door to the New Seasons!

Meet Our Vets in Happy Valley, OR

Our veterinary team includes experienced, compassionate professionals dedicated to your pet’s well-being. We combine medical expertise with a sincere love of animals, creating meaningful connections with every visit.

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