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Shaffer Animal Hospital - Treatment Authorization
Shaffer Animal Hospital - Treatment Authorization
Please call our office to schedule an appointment prior to completing this form.
Shaffer Animal Hospital - Treatment Authorization
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    I am the owner of the above-named animal or am responsible for it and have authority to execute this consent. I understand there will be an examination performed for the above described condition. I hereby give the doctors at Shaffer Animal Hospital my permission to perform diagnostic procedures and treatments as are reasonably necessary to treat the aforementioned condition. While I accept that all procedures will be performed to the best of the abilities of SAH, I understand that veterinary medicine is not an exact science and that no guarantee or warranty has been made regarding the results that may be achieved. I agree to indemnify and hold harmless from and against any and all liability arising out of the performance of any procedures referred to above. I agree to pay a deposit of 50% of the estimated fees, assume financial responsibility for the remaining fees due on the date of discharge, and provide payment via cash, accepted credit cards, Scratchpay, or check at the end time my pet is discharged from the hospital. Should unexpected life-saving emergency care be required, and the hospital staff is unable to reach me, the staff has my permission to provide such treatment and I agree to pay for such services. I understand that if I pick up my pet any later than the posted time of closure of the business, I may be subject to a late fee..
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