This form is an authorization to perform the above listed procedure(s). The person signing verifies that they are the legal owner and are responsible for any and all charges at time of service (in emergencies-pet sitter or caregiver is an authorized person). Any anesthetic procedure does pose a risk to the patient, and despite all precautions taken by Maricopa Animal Hospital and their staff, medical intervnetion may be necessary. By signing this authorization, the undersigned is stating that they understand all risks and assume full financial responsibility for charges incurred to be rendered at time of service. Maricopa Animal Hospital is not a 24 hour facility - I understand that if my pet requires hospitalization overnight, there will not be a staff member attending.