Permission to Sedate

PERMISSION TO SEDATE

Coffee Road Animal Hospital 3534 Coffee Road Bakersfield, CA 93308
Name*

First NameLast Name
Pet(s) Name:*
Occasionally some pets become agitated and extremely nervous when away
from home and around other animals. To minimize this stress on your pet it is
sometimes necessary to medicate with a sedative to keep your pet safe and
comfortable.
Of course, your pet is monitored and we would never sedate a pet that is not
experiencing extreme agitation or nervousness.
Please indicate your wishes regarding sedation below. Please also be aware thatif sedation is necessary there is a charge of $5.50 per day to administer themedication.*

I DO approve sedation if necessaryI DO NOT approve sedation. I understand that should the veterinarian findit is life threatening or inhumane NOT to sedate my pet; this waiverbecomes invalid.
This agreement shall apply to all pets I board at COFFEE ROAD ANIMAL
HOSPITAL & PET RESORT, and will remain in effect indefinitely.
Today's Date:*

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Signature of Owner or Responsible Party:*

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PERMISSION TO SEDATE