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Welcome
New Patient: Pet Registration
Current Patient: Schedule Appointment
Prescription Refill Request
Pet Records Portal Sign In
Appointment Self Check-In Notes
Anesthesia Release Form
Client Feedback
Social Media Release
Payment Link
Heartworm Test Decline Form
Pet Records Portal
Home
About
Meet Our Veterinarians
Meet Our Support Team
Family Photos
Employment
History
Contact
Veterinary Services
Pet Wellness Care
Puppy and Kitten Care
Sick Pet Care and Diagnostics
Pet Dental Care
Veterinary Surgical Services
Emergency Pet Care
Euthanasia and End of Life Care
Owner Resources
Welcome
New Patient: Pet Registration
Current Patient: Schedule Appointment
Prescription Refill Request
Pet Records Portal Sign In
Appointment Self Check-In Notes
Anesthesia Release Form
Client Feedback
Social Media Release
Payment Link
Heartworm Test Decline Form
Pet Records Portal
Owner Resources
Welcome
New Patient: Pet Registration
Current Patient: Schedule Appointment
Prescription Refill Request
Pet Records Portal Sign In
Appointment Self Check-In Notes
Anesthesia Release Form
Client Feedback
Social Media Release
Payment Link
Heartworm Test Decline Form
ANNUAL
HEARTWORM TEST DECLINATION FORM
Name
*
First Name
Last Name
Pet's Name
*
Daniel Island Animal Hospital, The American Heartworm Society, and American Animal Hospital Association (AAHA) recommend annual heartworm testing. It can take up to 6 months for a heartworm test to be positive after a dog’s exposure, so a negative test after a lapse in treatment, or in a young or adopted pet, may not indicate that no infection is present. For this reason, it is important to test again 6 months later. Additionally, it is important to make sure preventative medications are working. While heartworm medication is extremely effective, some pets can still become infected. Why? Perhaps a dose may be missed or late, sometimes a dog can vomit or spit their pills out when owners aren’t looking, or the heartworms develop a resistance to the medication. It is best to diagnose heartworms as soon as possible because they can cause progressive or fatal damage. Dogs who have had a lapse in treatment and have an undetected infection could experience anaphylaxis or clotting after heartworm medication is restarted due to the sudden death of the parasite with prevention medication. This is why we test prior to restarting prevention. I have been informed of the risks of not performing a heartworm test and have decided at this time to decline the recommendations of the doctor/staff. I have been informed that the heartworm test is in the best interest of my pet. Not allowing a heartworm test to be performed could potentially risk his/her health. Signing below will relinquish any/all liability from Daniel Island Animal Hospital and staff. I understand that I will need to sign this form annually to continue to get prescription prevention medications for my pet.
*
Date
*
MM
DD
YYYY
Thank you!