Authorization
I, the undersigned owner or agent of the owner of the pet identified above, certify that I AM EIGHTEEN years of age or older and authorize the veterinarian(s) at Cedarcrest Animal Hospital to perform the above procedure(s). I understand that some risks always exist with drug therapy and medical treatments and I have been encouraged to discuss any concerns I have about those risks with the attending veterinarian before the procedure(s) is/are initiated. My signature on this form indicates that any questions I have regarding the following issues have been answered to my satisfaction:
- The reasonable medical treatment options for my pet
- Sufficient details of the procedures to understand what will be performed
- How fully my pet will recover and how long it will take
- The most common and the most serious side-effects
- The length and type of follow-up care and home care required
- The estimate of the fees for all services
- Any necessary payment arrangements
While I accept that all procedures will be performed to the best of the abilities of the staff at Cedarcrest Animal Hospital, I understand that no guarantee or warranty has been made regarding the results that may be achieved. I agree to assume financial responsibility for all fees and provide payment via cash, credit card, CareCredit or check at the time my pet is discharged from Cedarcrest Animal Hospital.
I grant to Cedarcrest Animal Hospital, its representatives, and employees the right to take photographs of me and/or my pet, and to copyright, use and publish the same in print and/or electronically. I agree that Cedarcrest Animal Hospital may use such photographs of me and/or my pet with or without my name and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, and Web content.