CONSENT FORM AND RELEASE
Your pet(s) will be examined to determine the appropriateness of immunizations selected. Although this is a physical examination, it may be abbreviated. A comprehensive general health exam should be performed by your veterinarian yearly to better assess your pet’s health.
I HEREBY AUTHORIZE the veterinarian of Central Oregon Veterinary Express to vaccinate my pet(s) and perform the other services that I have selected above. I understand that vaccine reactions may happen and include:
• Facial swelling, hives, reddened skin, itching, excessive swelling/scratching around the injection site
• Excessive drooling, lethargy, lack of appetite, vomiting, diarrhea, injection site sarcomas, anaphylactic shock and/or death
I further understand that these reactions are idiosyncratic and cannot be predicted. I will not hold the veterinarian or the clinic responsible for any of the above occurrences. I also agree to seek care at a full-service hospital and pay all costs involved in treating any reaction, should they occur. I am responsible for informing the veterinarian and staff of the medical conditions of my pet(s), and maintaining control of my pet(s). Should my animal(s) bite, scratch, or otherwise injure myself or other members of my household during an exam or treatment, I will not hold COVE or its employees responsible for any related expenses. My medications may be placed in a non-childproof container. I agree to pay for the charges associated with my selections above. By electronically signing my name below and submiting this form, I confirm that I have read and agree to the terms of this consent.