Grove City Veterinary Hospital

4350 Grove City Rd.
Grove City, OH 43123

(614)875-4321

www.grovecityvet.com

Free Vaccines For Life Enrollment Form

FVFL Enrollment Form

Name (required)
First Name (required)
Last Name (required)
Pet's name (required)
First Name (required)
Last Name (required)
We believe that one of the most important things you can do for your pet is to bring it to the vet on an annual basis. We would like to encourage you to continue to come once a year with your pet by offering a FREE vaccines for life program!
Initial the following statements below:
*One time enrollment fee of $130 per pet (required)

*Your pet must come in for a Wellness exam with a doctor within 30 days of the due date for the policy to remain valid. If it is more than 30 days after the due date, you will need to re-enroll in the program or purchase the vaccines at cost. (required)

*The re-enrollment fee is $130 per pet. (required)

*Free Vaccine program only includes Rabies, Da2pp, Bordetella, and Leptospirosis for dogs and rabies, FVRCP and Felv in cats. Sometimes pets get many vaccines, sometimes none will be due. (required)

*Our staff will make recommendations for vaccination based on your pet’s lifestyle and risk factors. We do not vaccinate against diseases for which your pet has no risk of acquiring. (required)

*Canine Influenza vaccine is Not covered under the program and will be charged to the pet’s invoice and payment is required when services are rendered. (required)

*An assessment of your pet’s health will be required prior to any vaccination administration (required)

*The program only applies to vaccines. Any additional services or products such as heartworm test, blood work, fecal exams or medications are additional costs to the exam fee. (required)

*We still require puppy and kitten exams every 3-4 weeks during the puppy and kitten series, however all vaccines given during that time are included in the program. (required)

*If your puppy or kitten misses a booster visit, then you will have to pay for additional vaccines that may be needed as a result of being late (additional boosters). We still require your pet to come in annually when it is due. (required)

*This program cannot be discounted, or used towards gathering stamps for loyalty programs, or refunded for any reason. (required)

*The program cannot be transferred to another pet. If your pet who is enrolled goes to a new home, the new owner will need to purchase their own policy for the pet. (required)

*This program may be discontinued at any time. However, those clients who have previously been enrolled in the program and have stayed current will continue to receive the benefits of the program throughout the life of that pet. (required)

*I understand that if I move, I must update my contact information with Grove City Veterinary Hospital to receive reminders about when my pet is due for vaccinations and wellness exams. (required)

*I have read and agree to the program restrictions of the Free Vaccines for Life program. I understand that I will be responsible for fees associated with the program as outlined in the above text. (required)

Date (required) :

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