Telemedicine Consent Form

  • Please complete the following form to request a Telemedicine Consultation/Exam for your pet. Please also note that availability will vary. Thank you!
    A staff member should have found your existing account on our system and you are ready to begin the consultation after answering a few questions. If you have not yet spoken to a member of staff please call us at 915-778-9588
  • I certify that this form has been reviewed by me. I have read it and understood all aspects of this form. I understand and agree to its contents. I agree to participate in the Telemedicine examination. I authorize Montana Animal Clinic and its Veterinarians, Technicians , and other staff members involved to perform procedures that may be necessary for my pet(s) current medical needs.

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