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Drop Off Procedure & Treatment Consent Form
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    Consent to perform URGENT/EMERGENT treatments or diagnostics:
    *    Perform any necessary procedures/treatments, per veterinarian’s discretion, at this time.
    *    Perform necessary procedures/treatments up to $    *    .
    *    Call me with an estimate of any additional recommended procedures/treatments after the initial exam has been completed. Do not proceed without authorization.

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  • 3

    Consent to perform ELECTIVE procedures:
    *    Annual physical exam
    *    Singular issue exam (patient is current on annual physical exam)
    *    Heartworm and Tick Borne Disease Screening
    *    Vaccines (Rabies, DA2PP/FVRCP, Lepto, Bordetella, FeLV)
    *    Microchip placement
    *    Other    *    

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