Virginia Veterinary Disclosure Form

Consent*
The state of Virginia requires that Ocean Veterinary Ophthalmology, LLC notify you that continuous medical care is NOT available at this facility from 4 p.m. to 7 a.m. Monday and Thursday, 4 p.m. on Tuesday until 7 a.m. on Thursday, and 4 pm on Friday until 7 a.m. the following Monday. If we feel that your pet needs continuous care during these hours, we will notify you and make arrangements to transfer your pet to The Life Centre in Leesburg.

In case of an emergency, we will attempt to contact you to discuss and get permission for treatment. If we cannot reach you in a timely manner, we will act in the best interest of your pet.
I agree to the Virginia Veterinary Disclosure Form for Ocean Veterinary Ophthalmology *
Name:*
First
Name:*
First Last
Email*
This field is hidden when viewing the form
Date
MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.