ANIMAL COMMUNICATION FOR MEDICAL REASONS IS CALLED A
VETERINARY COMPLEMENTARY MODALITY CONSULTATION
To comply with local veterinary laws and regulations, an “informed consent sheet” request from your veterinarian asking for animal communication by Dr. Seabrook used as a “veterinary complementary modality” for your animal’s veterinary care must accompany your request.
This is the informed consent sheet to have your veterinarian complete when you request a veterinary complementary modality consult. It may be copied and pasted off the website, or Dr. Seabrook can forward you a copy via email.
INFORMED CONSENT FOR ANIMAL COMMUNICATION
AS A VETERINARY COMPLEMENTARY MODALITY
Owner/ Agent for the Animal:____________________________
Contact Telephone Number(s):____________________________
Alternate Contact Person:________________________________
Alternate Phone Number(s):______________________________
Animal’s Name:_________________________ Species:__________________ Breed:____________
Planned Procedure: Animal Communication
Authorization: I, the undersigned, am the owner or agent for the animal described above and am authorized to make decisions regarding its case.
I hereby acknowledge that my veterinarian, Dr.________________, or his/her representative, has advised me of and explained the following:
•The tentative or final diagnosis of my animal
•Recommended therapies and treatment
•That animal communication is considered a complementary modality for understanding of the animal’s opinion of their physical body and therapy
I hereby accept the recommended consultation regarding my animal with Dr. Cathy Seabrook, who is a Veterinarian Animal Communicator.
I have read and fully understand this form and declare that I voluntarily consent to it.
Veterinarian or representative of:_______________________________________________
In an emergency, please ask your veterinarian to email Dr. Seabrook directly requesting this complementary therapy to email@example.com