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      YFV
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    • Parasite Prevention
      And Control
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      And Dermatology
    • Dental Care
    • Pain Management
    • Surgery
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    • Orthopedics
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      &Small Mammals
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Your Family Veterinarian
Your Family Veterinarian
Schedule Your Appointment
407-603-3086
Your Family Veterinarian Logo
Schedule Your Appointment
407-603-3086
    Your Family Veterinarian Logo
  • Our Hospital
    • About
      YFV
    • Payment
      Solutions
    • Client Forms
    • Our Videos
  • Our Services
    • Preventive Care
    • Wellness Exams
    • Early Detection Testing
    • Puppy/Kitten And Senior Pet Care
    • Vaccinations
    • Parasite Prevention
      And Control
    • Pharmacy
    • Nutritional Counseling
    • Microchipping
    • General Medicine
    • Pet Allergies
      And Dermatology
    • Dental Care
    • Pain Management
    • Surgery
    • Ophthalmology
    • Internal Medicine
    • Orthopedics
    • Pet Emergency Services
    • Vaccinations
    • Parasite Prevention And Control
    • Digital Radiography
    • Additional Vet
      Services
    • Blood and Plasma Transfusions
    • Exotic Pets, Pocket Pets
      &Small Mammals
    • Boarding
    • Grooming
  • Client Forms
  • Resources
    • Blogs
    • News &
      Promotions
    • Pet
      Resources
    • FAQs
  • Reviews
  • Home Delivery
  • Contact

"Improving lives through personalized care. We treat you like family and each patient like our own pet."

"Improving lives through personalized care. We treat you like family and each patient like our own pet."

"Improving lives through personalized care. We treat you like family and each patient like our own pet."

Patient Forms

Thank you for giving us the opportunity to care for your pet! Please click on the link to the form that you need. Download the form, print it and complete the information sheet and bring it to the hospital at the time of your appointment.

  • Surgery Anesthesia Consent Form

    Download
  • Patient Record for Boarding Form

    Download
  • New Client Form

    Download

      Patient Record

      *Required Fields
      *Patient Name:
      *Client Name:
      Check in weight:
      *Phone:
      Check in
      Check out
      # Nights
      Pets(s) name from same family
      Play ?
      Board together ?

      Check in items Groom Medication feeding

      Kennel Food
      OWN FOOD 1:
      Amount
      OWN FOOD 2:
      Amount
      MED NAME:
      Amount
      For:
      MED NAME:
      Amount
      For:
      MED NAME:
      Amount
      For:
      OTHER/ NOTES:
      DAY/DATE
      Notes
      LEASH
      COLLAR
      BLANKET/BED
      TOYS
      OTHER
      UTD ON VACCINES
      NEEDS VACCINES
      TECH EXAM ONLY
      NEEDS TECH SERVICES
      NEEDS DVM SERVICES
      PARASITE CONTROL
      DONE AT HOME TYPE
      APPLICATION DATE
      NEEDS PARASITE PREVENTION APPLIED
      ACTIVYL
      REVOLUTION FELINE APPLIED BY:
      (TECH EXAM)
      FLEAS/TICKS SEEN?
      NEEDS TICK DIP
      NEEDS PREVENTIC COLLAR
      HISTORY:
      EATING
      DRINKING
      VOMITING
      DIARRHEA
      COUGHING/SNEEZING
      SCRATCHING
      CHECK IN CONDITION (TECH EXAM)
      CHECK ALL WITH ISSUES:

      * BOARDING RELEASE

      At YOUR FAMILY VETERINARIAN, INC every effort is made to provide a safe and clean boarding environment for every pet that stays at our facility. We rely on the input of the pet’s owner to know what the pet’s normal routine is, and to help that pet adapt to the boarding facility as comfortably as possible. If you have a pet with special medical needs, we rely on the pet owner for very specific instructions and a detailed history so that we can best care for your special needs pet.

      *Pet Owner
      *Staff Witness
      *Date
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      Surgery Anesthesia Consent

      *Required Fields
      *Client Name:
      *Date:
      *Address:
      *Phone:
      Species:
      Procedure(s)

      I, the undersigned, do hereby certify that I am the owner or the duly authorized agent for the owner of the animal described above, and that I do hereby give Dr. Garcia and his representatives full and complete authority to perform the procedure(s) listed above. I also authorize the said Doctor and his representatives permission to perform any procedure at his discretion that is life saving or is critical to the pets health.

      I, the undersigned, do hereby certify that I have been informed and understand the risks associated with the use of anesthesia/sedation.

      GAS ANESTHESIA: I have been informed of my option to use Isoflurane or Sevoflurane during the procedure listed above. While Isoflurane is extremely safe, Sevoflurane is newer and safer and gives us the option of a quicker post-surgical recovery.

      SHORT DURATION INJECTABLE ANESTHESIA: I have been informed that short duration injectable anesthesia will anesthetize my pet for a finite period of time, usually 30 minutes or less. I am aware that this may not be enough time to complete the procedure listed above.

      PRE-ANESTHETIC DIAGNOSTICS: (check all testing that owner has agreed to perform)

      Some apparently healthy pets have problems (heart, liver, kidneys) which are not evident on routine examinations – yet could produce complications during anesthesia and surgery. Though these problems are more common in older pets, young pets are at risk as well due to their genetics. These risks can be greatly reduced by performing pre-anesthetic testing. These diagnostics have been explained to me and I have exercised my option to accept or decline the individual tests.

      I, the undersigned, forever release the said doctor and his representatives from any and all liability arising from said procedure on said animal.
      ANCILLARY SERVICES AVAILABLE WHILE YOUR PET IS HAVING THE PROCEDURE PERFORMED
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      Owner Information

      *Owners Name:
      *Spouse/Other:
      Children Living in Home:
      Address
      City
      State
      Zip
      Primary Phone
      Email Address
      How di you first hear of us:

      Patien Information

      Pet's Name
      Approx. Date of Birth/Age
      Type of Pet
      Gender
      Color:
      Microchip?
      Previous Veterinarian(s)m where record could be obtained if necessary
      Has your pet been treated/ Medicated for any illness in the past year?
      Specify Diagnosis, Medications and Dosages, If Known:
      Thank you
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      Contact Information

      • Address
        19448 East Colonial Dr Orlando, FL 32820
      • Phone
        407-603-3086
      • Email
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      Your Family Veterinarian

      Animal Hospital Hours

      • Monday:
        7:30am - 5:30pm
      • Tuesday:
        7:30am - 5:30pm
      • Wednesday:
        7:30am - 5:30pm
      • Thursday:
        7:30am - 5:30pm*
      • Friday:
        7:30am - 5:30pm
      • Saturday:
        9:00am - 3:00pm
        Closed 3rd Saturday of Month
      • Sunday:
        9:00am - 11:00am
        Boarding pickup only


      • *Every other Thursday closed
        11:30 am - 1:30 pm for staff training.
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