Home
Services
Wellness Exams
Dental Care
Surgery
Vaccinations
Bathing
Senior Wellness
Emergency & Critical Care
View All Services
About Us
Our Doctors
Our Staff
Careers
Testimonials
Virtual Tour
Submit A Photo of Your Pets
Pet Gallery
Resources
Payment Options
Pet Medical Records App
Links
Veterinary Care Foundation
Contact
Appointment
Forms
Online Store
Home
Services
Wellness Exams
Dental Care
Surgery
Vaccinations
Bathing
Senior Wellness
Emergency & Critical Care
View All Services
About Us
Our Doctors
Our Staff
Careers
Testimonials
Virtual Tour
Submit A Photo of Your Pets
Pet Gallery
Resources
Payment Options
Pet Medical Records App
Links
Veterinary Care Foundation
Contact
Appointment
Forms
Online Store
Make an Appointment
310-545-6596
Heartworm Test Waiver
Call Now
(310) 545-6596
Please enable JavaScript in your browser to complete this form.
I understand that my dog/cat is at risk to contract heartworm disease.
*
I understand
I understand that if heartworm disease is contracted that it could be fatal.
*
I understand
I understand that treatment for heartworm infection is not guaranteed and can be both dangerous and expensive to treat.
*
I understand
The veterinarians at Bay Animal Hospital along with The American Heartworm Society guidelines recommend heartworm testing for all dogs greater than 7 months of age whether or not a preventative has been started. Heartworm preventative is recommended year-round for the safety of your pet. Additionally, testing is recommended on an annual basis and re-testing is recommend if there has been a lapse in heartworm preventative administration of more than 4 months.
*
I understand
I hereby decline
*
Heartworm Test
Please confirm:
*
I hold both veterinarian and staff harmless should illness, injury, or death result from declining the recommended care.
Pet’s Name
*
Client’s Name
*
First
Last
Client's Email
*
Signature
*
Clear Signature
Date
*
Name
Submit
MAKE AN APPOINTMENT
PHARMACY
FIND US
PET RECORDS
ONLINE STORE