Forms | BeyondVetMed

Consent to Treat my Animal

First Name

Last Name

Today's Date

I authorize Wellness Matters to treat my animal(s) medical conditions and recommend diagnostic tests to be ordered through their veterinarian as needed. I recognize that treatments they receive may include homeopathic, nutrient, supplemental therapies and/or Reiki. This consent is intended to provide an opportunity for me to make an informed decision so that I may give or withhold my consent to treatment that may be considered alternative by veterinarians trained in the United States.

I understand that: 1- The safety and efficacy of alternative therapies has not always been established with controlled studies to the satisfaction of conventional (allopathic) medicine. 2- Side effects to homeopathic treatment (although uncommon) may include temporary worsening of present symptoms (aggravations) or temporary development of new symptoms (proving symptoms). 3- No claim to cure has been made to me. 4- Wellness Matters will NOT be providing surgery or emergency care for my pets. 5- The therapies my animal (s) receive will complement the care I receive from their veterinarian and will not replace such care. 6- Homeopathic associates, consults, and supervisors may be involved in my animal (s) care.

I realize I have sought care from Wellness Matters, and they have explained fully in detail the services I am choosing to receive today. Interactions, reactions, and side effects have been fully explained to me regarding the treatments my animal (s) receiving today – conventional and non- conventional.

My signature below indicates that I have read the information in this document and agree to abide by its terms during our professional relationship

Signature (your full name will serve as your signature)

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