Veterinarian Release Form

Veterinarian Release Form
Owner Name*

First NameLast Name
Pets Names*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email
example@example.com

Emergency Contacts

Please provide emergency contact information with the understanding that the designated individual will only be contacted if your Paws and Claws Pet Sitter is unable to reach you directly. Pet owners will always be contacted first in the event of an emergency. The emergency contact will only be notified if the owner cannot be reached or is unavailable to assist in making decisions regarding their pet’s care.
Emergency Contact #1*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Relation to Emergency Contact #1*
Best way to contact Emergency Contact #1:*
Emergency Contact #2

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Relation to Emergency Contact #2
Best way to contact Emergency Contact #2:

Veterinarian Release Form

If any of the pets listed above become ill or are injured, and I, or my designated emergency contact, cannot be reached, I authorize Paws and Claws to seek veterinary care for my pet(s) at the following facility:
Clinic Name*
Veterinarian*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Please provide the name and contact information for an Emergency Vet or clinic in case your primary vet is unavailable. This ensures Paws and Claws can get your pet the care they need if an emergency arises.

If any of the pets listed above become ill or injured and I, or my emergency contact, cannot be reached, and if the primary vet is unavailable, I authorize Paws and Claws to seek veterinary care at the following emergency facility:
Alternative Clinic/Hospital Name*
Alternative Clinic/Hospital Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email
example@example.com

Please provide the names and upcoming due dates for all current vaccines for your dogs, cats and/or ferrets.

	Pet #1, Vaccine Name	Due Date	Pet #2, Vaccine Name	Due Date
Pet's Name
Vaccine #1
Vaccine #2
Vaccine #3
Vaccine #4
Vaccine #5

Alternatively, you may upload your dog’s, cat’s, or ferret's current vaccination records for our reference, if that is your preferred option.

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Do You Have Insurance for Your Pet(s)?*

YesNo
If Yes, What Company is your Insurance through?
Ex. Lemonade Pet Insurance
Pet Insurance Policy Number
Before completing this form, you must notify your primary veterinarian’s office of your upcoming absence and verbally authorize Abi of Paws and Claws Pet Services as an approved party on your account for emergency situations. This authorization does not grant Abi, or Paws and Claws Pet Services, permission to access your pet’s medical records, request services, or make medical decisions on your behalf. Veterinary care will only be sought if an emergency arises and you or your designated emergency contact have explicitly instructed Paws and Claws Pet Services to do so. If you and your emergency contact cannot be reached despite multiple attempts, Paws and Claws will act in the best interest of your pet’s health and safety by seeking necessary veterinary care. You may provide your veterinarian with Abi’s contact information for reference. If any issues arise with the authorization, please contact Abi directly for assistance.*

I confirm that I have contacted my primary veterinarian’s office and have verbally authorized Abi of Paws and Claws Pet Services as an approved person on my account for emergency situations. This authorization allows Abi to bring my pet to the clinic only in the event of an emergency and does not grant access to medical records or services without prior instruction from me or my designated emergency contact. This authorization will remain valid through 2025 to ensure my pet receives timely veterinary care if needed.
To Whom It May Concern

I hereby authorize the attending Veterinarian to treat any of my pets as listed above and in the Paws and Claws Family Form. I accept full responsibility for all fees and charges incurred in the treatment of any of my pets, up to the approved amount indicated below. If the chosen Veterinary Offices are unavailable or far away in the case of an emergency, I authorize Paws and Claws to choose an appropriate alternative. The Dog Walker/Pet Sitter from Paws and Claws Pet Services is authorized to transport my pets to and from the veterinary clinic for treatment or to request "on-site" treatment if deemed necessary. Every effort will be made to contact me or my emergency contact prior to proceeding with treatment, particularly if costs are expected to exceed the approved amount indicated below. However, I understand that unforeseen emergencies may require immediate action to ensure the health and welfare of my pet. If I or my emergency contact cannot be reached in the event of an emergency, I authorize the Dog Walker/Pet Sitter from Paws and Claws Pet Services to act on my behalf to ensure my pet receives necessary and immediate medical treatment. This authorization includes permission to approve costs exceeding the pre-approved amount if deemed critical for my pet’s health. I agree to cover all fees and charges incurred as a result of such treatment, including those exceeding the approved amount, to prioritize the well-being of my pet.
Please specify a dollar amount below for your pet's emergency care spending limit. This amount can be any value you are comfortable with, including $0 if you do not wish to set a limit. A specific dollar amount is required in this section to ensure proper authorization in the event of an emergency.
I understand that unforeseen medical treatments may be necessary and agree to a spending limit of $*
Paws and Claws will always contact you or your emergency contact before proceeding with any treatments.
In the event costs exceed this amount, every effort will be made to contact me or my emergency contact before proceeding. However, I understand that my pet’s immediate needs may take precedence if I cannot be reached.*

I Agree
I will assume full responsibility upon my return for payment and/or reimbursement for veterinary services rendered up to the above stated amount.*

I Agree
Owner Name*

First NameLast Name
By signing below, I acknowledge that I have provided accurate information and authorize the above actions if needed.*

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Veterinarian Release Form

Emergency Contacts

Veterinarian Release Form

Please provide the name and contact information for an Emergency Vet or clinic in case your primary vet is unavailable. This ensures Paws and Claws can get your pet the care they need if an emergency arises.

To Whom It May Concern

Please specify a dollar amount below for your pet's emergency care spending limit. This amount can be any value you are comfortable with, including $0 if you do not wish to set a limit. A specific dollar amount is required in this section to ensure proper authorization in the event of an emergency.