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Companion Animal Clinic 10998 Clara Barton Drive Fairfax Station, VA 22039 703-250-4100
VIRGINIA VETERINARY DISCLOSURE FORM
BUSINESS AND MEDICAL STAFFING HOURS ARE AS FOLLOWS:
Twenty-four (24) hour medical care is not provided at this facility. There is no in-house, on-duty, continuous medical staffing care available at the following times:
· Overnight, from closing at 7:00 PM until opening at 8:00 AM the following morning (weekdays)
· Weekends, from closing Saturday at 1:00 PM until opening at 8:00 AM on Monday.
· Holidays, (New Year's Day, Memorial Day, July 4th, Labor Day, Thanksgiving and Christmas) from closing time the day before the holiday at 7:00 PM or 1:00 PM for both Christmas Eve and New Year's Eve, until opening at 8:00 AM the day following the holiday.
· Monday Holiday, from closing on Saturday at 1:00 PM until opening time at 8:00 AM on Tuesday.
Should an animal require care or monitoring during non-staffed hours, the owner will be contacted and arrangements made to transport the pet to an emergency facility. Transportation and emergency service fees are the responsibility of the client.
I have read and understand the above information and am aware of the staffing hours.
____________________________________ ____________________ Signature of Client/Agent Date
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