• Dental Check in Form

  • If I am unavailable when the HIlliard Veterinary hospital calls to discuss additional dental recommendations, I authorize the following action (please select and inital one):

  • 1) Do whatever the doctor recommends for my pets well-being. By indicating yes, I fully understand that my total bill may be over $1000 at discharge.

  • 2) I have an additional budget of and authorize the doctor to perform the necessary procedure for my pet.

  • 3) I wish to have no additional services performed at this time and accept that my pet may need additional anesthetic appointments to complete the doctors recommendations.

  • Date
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  • Should be Empty: