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Appointment

Client Service Agreement in Madison, MS

Everwell Veterinary provides a clear client service agreement for pet owners in Madison, MS seeking in-home veterinary care. Completing this form ahead of your appointment ensures mutual understanding, smooth communication, and a more efficient, personalized experience for your pet’s care.

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Review and Complete Your Service Agreement

Please review and complete the Client Service Agreement before your appointment with Everwell Veterinary. This document outlines expectations, policies, and the scope of care, helping ensure a transparent and professional experience during your in-home visit.

This Concierge Client Service Agreement (“Agreement”) is made between Everwell Veterinary (“Provider”) and the undersigned pet owner (“Client”). By electronically signing below and enrolling in Provider’s subscription service, Client agrees to the terms and conditions set forth here.

This Agreement is intended to protect the safety, well-being, and comfort of the patient, Client, and Provider while enabling high-quality, compassionate in-home veterinary care.

Parties and Patient

Client Name *

First

Last

Patient Name / Species / Breed / Age: *

Email *

Phone *

Subscription Plan Start Date *

Monthly Subscription Fee *

(will be charged automatically on or about the agreed billing date each month)

Subscription, Billing, and Payment Authorization

Authorization *

Client authorizes Provider to charge the monthly subscription fee to the payment method on file.

Due Dates *

Client understands fees are due and payable on the scheduled billing date each month. Overdue payment may result in suspension or termination of services.

Billing Changes *

Client agrees to notify Provider promptly of any change to billing information.

Additional Fees *

Client understands any special, non-covered services, diagnostics, or medications performed with Client’s consent will be billed in addition to the subscription fee.

Appointment Logistics and Presence Requirement

Preparation *

Client agrees to have the patient in a secure, safe location inside the home at least 15 minutes before the scheduled appointment time to allow Provider to prepare and begin care without delay.

Presence *

The Client (or an authorized, adult decision-maker listed below) must be present, reachable, and available to make medical decisions for the patient at the time of the appointment.

Rescheduling *

If a decision-maker is not present or available, Provider may reschedule at Client’s expense.

Philosophy of Care, Comfort, and Procedural Consent

Low-Stress Handling: Provider practices high-touch, low-stress, in-home medicine. Provider will use gentle handling and low-stress techniques.

Safety Protocols: If the patient appears uncomfortable, distressed, or if safe handling cannot be achieved, Client agrees to discuss and, if indicated, permit additional measures (including, but not limited to, anxiolytics, sedation, or alternative handling techniques) to ensure the safety and welfare of the patient, Client, and Provider.

Sedation Authorization *

Client authorizes Provider to administer or recommend sedation or other treatment techniques when, in Provider’s professional judgment, such measures are necessary for safe, humane care.

*Discounts will be given for multi-pet households on all tiers.

Emergency Care: Provider will explain options and obtain consent when feasible; in an emergency, Provider may act without prior consent to protect life or prevent serious harm.

Cancellations and Late Arrivals

Cancellation Fee *

Client agrees that appointments canceled with less than 24 hours’ notice will incur a cancellation fee of $50, payable by Client.

Policy Abuse: Repeated late cancellations or no-shows may result in suspension or termination of services.

Late Policy: If the Client is more than 15 minutes late without prior notice, the Provider may treat the visit as a cancellation and charge the applicable fee.

Communication Policy

Contact Methods *

Client agrees to Provider’s communication policy: Provider will communicate appointment confirmations, lab results, invoices, and medical recommendations via the contact information provided.

Responsiveness *

Client agrees to respond to critical communications in a timely manner. Clear, timely communication from Client and Provider is essential to patient care.

Confidentiality: Provider will respect Client confidentiality and comply with applicable privacy practices.

Referrals and Continuity of Care

Referrals: Provider may recommend referrals to specialists or emergency clinics when clinically indicated.

Emergency Limitations *

Client acknowledges that subscription services do not replace 24/7 emergency hospital availability.

Emergency Transfer *

If emergency care is required, Client authorizes Provider (if available) to arrange or facilitate appropriate emergency transfer and will be responsible for associated costs.

Risks, Limitations, and Release of Liability

Inherent Risks *

Client understands and accepts that in-home veterinary care has inherent risks, including but not limited to unforeseen medical complications and the potential need for additional interventions or transport to a clinic.

Liability Waiver *

To the maximum extent permitted by law, Client releases Provider and its representatives from liability for injury, loss, or damage arising from care provided in accordance with professional standards, except in cases of gross negligence or intentional misconduct.

Indemnification

Indemnification and Hold Harmless Agreement *

Client agrees to indemnify and hold Provider harmless from any claims, liabilities, or expenses arising out of Client’s failure to follow instructions, withholding information, or from third-party actions related to the patient during Provider’s visit, except where such claims arise from Provider’s gross negligence or willful misconduct.

Termination

Written Notice: Either party may terminate this Agreement with written notice. Termination does not relieve Client of payment obligations for services rendered or subscription fees due prior to termination.

Immediate Termination: Provider may terminate services immediately for safety concerns or repeated breaches of this Agreement.

Governing Law and Dispute Resolution

Governing Law: This Agreement is governed by the laws of the State of Mississippi.

Arbitration: Any dispute arising under this Agreement shall be resolved by binding arbitration in Madison County, Mississippi, under the rules of the American Arbitration Association (or state arbitration forum), unless otherwise agreed in writing.

Amendments

Provider may amend this Agreement from time to time. Provider will notify Client of material changes, and continuation of services after notice constitutes acceptance of the amended terms.

Electronic Signature and Consent

By electronically signing below, Client certifies that they are the owner or authorized agent for the patient, have read and understood this Agreement, agree to its terms, and consent to in-home veterinary care under these conditions. Client further authorizes automatic monthly billing for the subscription plan.

Signature *

Clear Signature

Today's Date *

Emergency Contact / Authorized Decision-Maker

Name

First

Last

Phone

Relationship

A Caring Note

Dr. Melissa Cefalu, owner and practitioner of Everwell Veterinary, is committed to providing compassionate, high-quality in-home care that prioritizes safety and comfort. If you have questions about any part of this Agreement, please contact Provider before signing.

Comment

Schedule Care for Your Pet Today

Everwell Veterinary provides mobile veterinary care for dogs and cats in Madison, MS, and nearby areas including Gluckstadt, Ridgeland, and Northeast Jackson. From preventative care and chronic disease management to in-home visits, our approach is designed for comfort, convenience, and continuity. Ready to book your pet’s visit?

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Service Area

Madison, MS 39110

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Contact Information

Phone: (769) 246-6284
Email: everwellvet@everwellvetms.com

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Hours

Monday – Friday: 8 AM – 5 PM
Saturday: Closed
Sunday: Closed

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