• Hospitalization Consent Form

    Lifetime Pet Centers of New Richmond & Williamsburg
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  • I hereby consent and authorize Lifetime Pet Center to prescribe for, treat, or operate upon:


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  • I have been advised to the risks associated with treatments and/or surgery. It is thoroughly understood that I assume all risks and will take responsibility for payment of services rendered.

    Lifetime Pet Centers will use all reasonable precautions against injury, theft, escape, or destruction of the animal listed above, but will not be held responsible in any many whatsoever on account of the care, treatment, or safekeeping of the animal described above, as long as acceptable procedures of veterinary medicine have been followed.

    It is also noted that my pet will be vaccinated if medically neccessary or if recommended by the prescribing doctor in order to protect the safety of my pet and the staff handling my pet. In addition, if my pet is found to have fleas, ticks, or other parasites, internal or external, while in the hospital, s/he will be treated accordingly as seen fit by the doctor and staff. Please notify us if your pet has any allergies or drug sensitivities. 

    After reading the above, I have signed to acknowledge recepit and understanding:

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  • Procedure being admitted for: Hospitalization

    Your pet is being admitted for hospitalization. We may discover additional conditions or complications while your pet is here, which can incur additional charges.


  • By signing below, you acknowledge the estimate provided to you for hospitalization and associated costs is not a guaranteed price for services. There are often unforseen circumstances that could result in an increased cost for the care of your pet. We will make a reasonable effort to inform you and gain consent for additional services before proceeding.

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