Consent for Exam, Consultation, and Treatment
I am the owner of the pet identified above or am an authorized agent.I consent to the examination of my pet by the staff veterinarians at Animal Internal Medicine & Specialty Services (AIMSS)/Animal Emergency Services (AES).I understand that an estimate of the costs for veterinary services will be provided to me and that I am encouraged to discuss all fees related to my pet’s case before services are rendered and during my pet’s ongoing medical treatment.I agree to be responsible for all charges relating to my pet’s medical care. I understand that AIMSS/AES does not extend credit and that payment is due at the time of service.I understand that any unpaid balances will be subject to court costs and attorney fees.I understand and agree that this agreement contains my entire agreement with AIMSS/AES regarding its subject matter and supersedes all other agreements and understandings, whether written or oral.I certify that: I am at least 18 years of age:
I give permission to AIMSS to use my pet’s image on social media including AIMSS website (www.aimss-sf.com), AIMSS facebook page, AIMSS brochures/informational pamphlets:
*We cannot accept a consent signature from a minor under 18 years of age
*AIMSS/AES is not responsible for personal property left in hospital. Please take all personal items with you including leashes, collars, bedding, carriers, etc.