Additional Information

• Unless you notify the veterinarian handling your case that you do not give permission, a copy of your pet's medical record will be available to your regular veterinarian.
• Payment is due at the time services are rendered. Our office call and emergency fee is $130.We will gladly prepare a written estimate before diagnostics and treatment are performed and after the doctor evaluates you pet. A deposit is required when a patient is hospitalized.

I hereby grant permission to the veterinarians in charge of the care of the pet described above to administer any treatment or anesthetics and to perform any such operations as may be deemed necessary or advisable in the diagnosis and medical care of this pet. I certify that I have read and understand the above information. I certify that I am at least 18 years of age and accept full responsibility for payment.

Critical Care Authorization

Your pet has been presented in a critical or life threatening state. In order to initiate and/or continue acute care to attempt to assess and stabilize your pet we will need to have your authorization of an initial estimate of $650, due at time of service, to perform immediate critical care procedures. This estimate is only for initial stabilization and does not include continued care such as hospitalization, treatments, medications or follow-up care. The doctors and staff will keep you informed as best as possible while performing life-saving procedures. We will provide you with a written estimate of expected charges for continued care at that time. A deposit will be required for patients remaining in the hospital for continued care.

Your signature below indicates that you have read and fully understand the above and are authorizing our doctors and staff to perform critical care stabilization.