Paws n Claws VETERINARIAN AUTHORIZATION Form

Paws n Claws VETERINARIAN AUTHORIZATION
Paws n Claws Require the Pet Owner to inform our Pet Sitter(s) of any medical condition(s) your pet has exhibited prior to securing our services so that we may be fully informed and may act accordingly.
Vet*
Pets Name/Names*
During my various absences, Paws n Claws Pet Sitting, will be caring for my animal(s). They have my permission to transport them to and from your office or, in the case of large animals, request "on site" treatment from your office as is deemed necessary. I authorize you to treat my animal(s) and I will be fully responsible for all fees and charges and will pay for all charges they incur on my behalf upon my return. I further authorize you to give out any information about my animal(s) to Sheri Chamney, the owner of Paws n Claws

Urgent Veterinary Treatment Authorization
This form will be retained on file and will be used to authorize urgent veterinary treatment in the event that your pet(s) require such treatment during your absence and we are unable to contact you at the time. Should you change Vets please notify Paws n Claws Pet
Client Name:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Work Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Pet Name- Description- Maximum Amount
Pet Name- Description- Maximum Amount 1*
Description and $
Pet Name- Description- Maximum Amount 2*
Description and $
Pet Name- Description- Maximum Amount 3*
Description and $
If multiple pets require treatment, do not exceed a combined total of
$
Special Instructions and or any underline health issues:
Paws n Claws Pet Sitting, reserves the right to utilize the services of any available veterinary clinic. If time permits, we will attempt to utilize your primary veterinary clinic. If it is not practical to do so, the following information will be helpful if the clinic we utilize requires documentation from your primary clinic.
Preferred Urgent Veterinary Care Clinic*
Preferred Urgent Veterinary Care Clinic Phone Number*
Preferred Urgent Veterinary Care Clinic AddressAddress*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I authorize
yesno
Signature*

Clear
Please verify that you are human*
Should be Empty:

Paws n Claws VETERINARIAN AUTHORIZATION

Pet Name- Description- Maximum Amount