CONSENT: Treatment Plan Acknowledgement Form

Hello, please read the below form carefully and acknowledge if you agree. If you have questions, please do not hesitate to reach out to our office via OTTO or calling us at 317-344-0906.

Community Pet Healthcare has adopted pricing transparency. The estimate provided (PDF before this form) shows the approximate cost of treatment for our patient’s current condition(s). Our team will communicate throughout the process and receive consent (this form) for treatment before proceeding. Pricing can vary and change depending on numerous factors during exams and treatment. In all situations, except emergency treatment and stabilization – Community Pet Healthcare will provide estimates and or updated costs to every client before treatment.

In the event of an emergency, I have indicated my preference for my pet's care regarding CPR(Required)


I acknowledge that the Community Pet Healthcare team has provided the healthcare plan options with me, which I have reviewed. They have provided materials detailing the treatments, costs, and risks associated with the care of my pet. I understand and accept the medical risks and costs involved in the proposed treatments, and I approve proceeding with the recommended care.(Required)







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  • 1

    Call us or schedule an appointment online.

  • 2

    Meet with a doctor for an initial exam.

  • 3

    Put a plan together for your pet.

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