I am the owner of the described horse and have the authority to execute this consent. I hereby authorize Rhinebeck Equine, LLP to examine and if necessary, treat said horse according to the following term and conditions.
Rhinebeck Equine, LLP and its officers, agents and employees will provide such veterinary medical care as they deem reasonable and appropriate under the circumstances.
Rhinebeck Equine, LLP and its officers, agents and employees will use reasonable care in the treatment of the above mention horse, but will not be liable for any loss or accident that may occur or any disease that may develop as a result of the care and treatment provided.
In executing this form, I hereby expressly acknowledge that risks, benefits and alternative forms of treatment have been explained to me, and thus I understand the explanation and consent to treatment. Should any additional treatments or diagnostics be required during the continued care of my horse, I understand that I will be given the opportunity to discuss and consent to these additional procedures. I understand that further or additional treatment may be required without an opportunity for discussion and consideration by me in the case of the development of any emergency during the continued care of my horse and I expressly consent to all such reasonable treatment as required. I realize and understand that results cannot be guaranteed.
I agree to pick up the horse when notified that it is ready for release.
In the event the horse is not picked up and if ten (10) days have expired since a registered letter was sent to the address given notifying me to call for the horse, the horse may be sold or otherwise disposed of in a humane manner and any proceeds from a sale applied to the charges incurred in caring and treating the horse. Failure to remove the horse will not and does not relieve me from obligation for the costs of services rendered. In addition, I understand that in the event the horse dies I am still responsible for all charges incurred.
I, hereby grant Rhinebeck Equine permission to take photographs of myself and/or my horse, and to publish those photographs for any lawful purpose, including, but not limited to, their website, social media accounts, promotional and educational materials, either digital or in print, in perpetuity. I also grant permission to use my name and/or my pet’s name.