Thank you for giving us the opportunity to care for your pet.
We will be happy to answer any questions you may have about your pet’s health. To ensure the best care possible, please take the time to fill out this form.
I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet.
I assume responsibility for all charges incurred in the care of this animal.
I also understand that these charges will be paid at the time of release and that a deposit may be required for surgical treatment.
Please sign electronically below.
Click submit and you hereby give consent to sign this document electronically.