CONSENT TO TREAT
I hereby consent and authorize you, the medical staff of Horseshoe Lake Animal Hospital, to receive, prescribe for, treat, and perform medical procedures upon my pet.
The nature of these operations or procedures has been explained to me, and I understand what will be done. I have also been informed that there are certain risks and complications associated with any operation or procedure of this type. These risks and possible complications have been explained to me as well. I further understand that during the course of the operations or procedures, unforeseen conditions may arise that may necessitate the performance of additional procedures. While I accept that all procedures will be performed to the best of the abilities of the staff at this facility, I certify that no guarantee of warranty has been made regarding the results that may be achieved. I have been informed that there are risks associated with the use of any medication prescribed for before or after care. I understand that hospital support personnel will be used as deemed necessary by the veterinarian.
Pet(s) that are not picked up within 24 hours of the agreed-upon pick up time, shall be considered abandoned. Written notice will be mailed to the address on file to remove the pet(s). Five days after such written notice, the pet(s) will be released to a humane organization, shelter, adopted out, or humanely euthanized, as you deem best and it is understood that your doing so does not relieve me from paying all costs of keeping, as the pet(s) is/are considered abandoned. I understand my pet’s photo may be used on social media sites. I also understand that this hospital has a “NO BILLING ALLOWED” policy, that a deposit may be required before treatment is begun, that the total amount of the bill is due at the time services are rendered, and that all transactions will be CASH, CHECK, MASTERCARD, VISA, DISCOVER or CARE CREDIT.
I understand and agree that in event of default, I am responsible to pay reasonable collection charges and/or attorney fees.