Yearly Update Form

Please update any of the following information for our records. This is done yearly to make sure your records are as up to date as possible.

Date

Please Read Carefully Before Signing

Kingstowne Cat Clinic has business and medical staffing hours as follows:
1. Monday- Friday: 8:00 am to 6:00 pm
2. Weekends and Holidays: Closed
Therefore, this is to inform you that we have no in-house, on duty continuous medical staff care on:
a) Weekdays from Closing time until the following business day at 8:00 am.
b) Weekends from Closing time on Fridays until 8:00 am on the following Monday.
c) Holidays from Closing time before the Holiday until the opening time the day after the Holiday.
Kingstowne Cat Clinic strives to provide the best possible care. Recently we have had an increase of No Show/No Call appointments. When this happens, it means another possibly sick patient couldn’t be seen at that time. To minimize this from happening we are implementing the following policies:
1. We will now require a $60.00 deposit to reschedule/schedule any client
that has had a previous No Show/No Call appointment.
2. If you do not make it to your scheduled appointment, there will be a No-
Show Fee of $60.00.
I have read this form and I am fully aware of the above hospital policies..

*Signature: (Please type your name)

Thank you for your cooperation!
Kingstowne Cat Clinic