Medical Release

Medical Release
Dear Client,

In the event that WOOF staff deems that your dog is in need of immediate veterinary care, due to injury or potential illness, please be advised of our protocol:

1) We will make every attempt to contact you via the phone numbers you have provided.

2) If you are unable to be reached, we will transport your dog for veterinary care.

a. If your vet is local, we will make every attempt to have your dog treated there. Your vet knows your dog best and should be more cost effective as well.

b. In the event that your vet is unavailable, or we deem that your dog requires immediate attention, we will transport your dog to:

Weekdays 8am-10pm Weekends 8am-8pm

Bishop Ranch Veterinary Center Urgent Care, 200 Bishop Ranch Drive, San Ramon (925)866-8387

All Other Hours

Sage Veterinary 7121 Amador Plaza Rd Dublin (925) 574-7243
Authorization to Seek Medical Attention
Dear Licensed Veterinarian:
I..., *

First Name Last Name
as a guardian of... *
Dog Name
Give my permission for WOOF to act as my agent in the event that WOOF deems my dog in need of medical
attention.

I further agree that I will be responsible for any and all charges incurred by such action.
Special Notes:
By entering my full name here, I am signing this release as the guardian of this animal: *

First Name Last Name
Date: *

Month Day Year Date Picker Icon
Should be Empty:

Authorization to Seek Medical Attention