The Highlands Veterinary Hospital

49 Woodport Road Sparta, NJ 07871

Phone: 973-726-8080 Fax: 973-726-8775

Dr. Carol Ose-Diehl Dr. Marie Pileci Dr. Nancy Frantz Shay Dr. Hamlin Lucena Jr.

EXPLANATION OF RECOMMENDED DIAGNOSTIC PROCEDURES AND TREATMENTS FOR CANINE AND FELINE PARASITE CONTROL

**Please read and sign below, thank you. If you have any questions, please ask!**

● I, the undersigned owner or agent of the owner of the pet(s) cared for by The Highlands Veterinary Hospital, have been informed of the risks of transmission of these parasitic diseases to humans.

*I understand that this is especially important with respect to small children, whose ignorance of personal hygiene makes them particularly vulnerable.

● Recent guidelines state that puppies and kittens should be wormed preventively starting at early ages and adults wormed monthly or more often depending on the prevalence of parasites in different geographic regions of the U.S.A.

● Careful analyses of fresh fecal samples should be performed one or more times yearly for each of my pet(s), depending on the information I provide about their activities, travels and environment.

● Because of new information coming to light regarding risks for humans, the guidelines provided by governmental agencies, veterinary schools and manufacturers of products are in a state of flux as to the frequency with which deworming medications should be administered.

● It is essential that my pet(s) receive a yearly physical examination along with microscopic fecal analysis.

*This will allow me to inform my veterinarian of any changes in my pet’s environment.

*It allows my veterinarian to inform me of changes in my pet’s health or alterations in recommended worming procedures and to prescribe appropriate therapeutic or preventative medications.

● As the scientific community further clarifies these issues, worming protocols may vary from those previously recommended, thus, requiring me to make an annual informed decision on behalf of my pet(s).

I have been encouraged to ask questions about the risks of complications from and changes in these parasite management issues, have had those questions answered to my satisfaction, and choose one of the following options:

ACCEPT:1. I hereby elect to follow theprotocol for parasite prevention with regular fecal analysis and deworming that hasbeen recommended for my pet(s).

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Signature of Owner or Agent Date

DECLINE:2. I hereby decline the parasite prevention program suggested by The Highlands Veterinary Hospital and agree to hold it harmless in the event a member of my family contracts a transmissible parasitic disease that could have been prevented by compliance with the recommendations of my pet’s veterinarian.

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Signature of Owner or Agent Date