I hereby consent to the above marked selections to be performed for or administered to my pet. I have read and/or understand to my satisfaction the information provided to me by Green Cove Pet Hospital on preventive care medicine for my dog. I am aware of the significant benefit and potential for risks of the above selections. No vaccine is 100% protective. An allergic reaction is possible with any new medication/vaccine.
In declining services, I understand that I am not fully protecting my pet from preventable and sometimes life-threatening diseases. The ramification of such a decision on my part may result in costly illnesses in the future and I will not hold Green Cove Pet Hospital liable in any way.