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New Patient Appointment for Horses

If this is your horse's first time at one of our Northwest Animal Eye Specialists locations, please complete our New Patient Form.

Book An Appointment

My Horse Needs an Appointment

We book all appointments based on urgency, so it is essential that you fill out this form in its entirety in order for us to help you and your horse. Once you submit your information, you must contact your veterinarian(s) immediately and have them send your pet's medical records to us. Once we receive your pet’s records, our staff will review those as well as the information you've submitted in this form and will get back to you via email or phone within 2-3 business days or less with options for scheduling an appointment. Even if your pet’s issue is urgent, please fill out this form and rest assured that we review this information as soon as it is submitted. We are currently booking out by roughly 1-2 months for non-urgent new patient appointments. If your pet has not seen a vet for this issue or if we do not receive records, your pet may be booked for our next available appointment. We recommend you use Google Chrome, Safari, or Mozilla Firefox to fill out this form. Please call us if you need assistance filling out this form.

Owner Information

Emergency Contact

Patient Information


Consent for Treatment and Hospital Policies

WELCOME TO OUR PRACTICE
We are pleased to have the opportunity to work with you and your horse. We hope that this information will be helpful in making an informed decision regarding the services that we can provide.
It is very important for you to carefully read this agreement so that we can discuss any questions you may have.
EXAMINATION APPOINTMENTS
The majority of our time is spent caring for the eyes of small animals, primarily dogs and cats. Therefore, scheduling of our horse patients is done on a case-by-case basis.
SURGERY APPOINTMENTS
Surgeries take place at a different time than the initial examination. Special arrangements must be made because the doctor and staff of Northwest Animal Eye Specialists do not perform general anesthesia on horses.
A horse surgery facility must become involved under these circumstances. All horse surgeries need final confirmation and a 50% deposit 72-96 hours in advance of surgery day.
PAYMENT POLICIES AND FEES
You can expect to pay $694.83 for exams. This price allows for inclusion of the basic tests that might need to be performed as part of the assessment (fluorescein staining, intraocular pressure testing) and for the possible need for a lid block.
The examination fee does not include more advanced diagnostic testing, medications, or procedures. Additionally, there is a $4.24/mile round trip travel fee to cover our doctor’s travel time.
Please ask BEFORE the appointment/examination if you have questions.
PAYMENT FOR SERVICES PROVIDED FOR YOU AND YOUR horse IS EXPECTED AT THE TIME SERVICES ARE RENDERED. *ALL NEW PATIENTS WILL NEED TO PREPAY*
Acceptable forms of payment include cash, check, Visa, MasterCard, Discover or American Express. We do not accept payment plans. For larger invoices, you have the option of applying for financing through Care Credit.
It is a third-party form of financing that does not have finance charges so long as you follow the terms of their agreement.
Insured horses: You are still responsible for payment on your account at the time of service. Insurance reimbursement is between the insurance company and the insured.
Overdue Accounts: Overdue accounts may be turned over to a collection agency, an attorney, and/or small claims court. You will be responsible for attorneys’ fees/costs or collection agency fees in the event your account becomes delinquent.
Payments returned from your bank due to non-sufficient funds will be subject to a returned check fee of $40.00 for each item returned.
EMERGENCIES AND HOW TO CONTACT US
We are at our main hospital between 9 AM and 5 PM Monday through Thursday. We have a very capable staff that is eager to help you. They can usually take care of your questions or concerns.
If not, they will leave us a message and your call will be returned at our earliest availability.
In the event of an after hours emergency, you should call the hospital for instructions on how to reach our doctor on call.
MEDICAL RECORDS
Your horse’s medical records are confidential. Information about your horse’s eye problems will not be released to third parties without your specific consent. There is one exception.
We will fax a copy of the eye examination report to your regular/referring veterinarian. If you have a concern about this policy, it needs to be discussed before the examination appointment.
Keep in mind that we try to work as part of a healthcare team with your regular veterinarian.
INFORMED CONSENT
By providing your name below and authorizing our staff to provide care for your horse, you indicate that you have read the information provided regarding our consent for treatment and hospital policies.
By providing your name below you also indicate that you understand the policies above and that you agree to abide by its terms during our professional relationship.

New Patients Welcome By Referral

Northwest Animal Eye Specialists is accepting new patients! Our experienced vets are passionate about the eye health of animals. Talk to your vet today about getting a referral to our Renton or Kirkland clinics.

Contact Us

Kirkland Renton