Consent for Treatment:
The actual cost and nature of medical services will be determined by the attending veterinarian. If the actual anticipated cost exceeds 20% of the maximum estimated cost, my authorization is required before treatment may continue. By signing below, I am authorizing that I am the owner or authorized agent for the animal described above, and I have the authority to execute this consent. By signing this consent, I am authorizing Rivertown Animal Hospital, Inc to proceed with treatment and will accept full financial responsibility for all diagnostic tests and treatments included in the estimate for services and for additional or emergency services if they should be necessary. I also understand that the hospital support personnel will be used as deemed necessary by the veterinarion, and will use all reasonable precaution against injury, escape, or death of my pet. I will not hold the doctor and staff responsible under any circumstances. I understand that I assume all risks. Additionally, by my signature I am verifying that I am at least 18 years of age. Estimate(s) are available upon request.
PAYMENT IS DUE AT TIME OF DISCHARGE.