(Please note that payment is due at the time of service. We will provide you with a receipt to submit to the insurance company for reimbursement from the insurance provider.)

Rabies vaccinations on dogs MUST be current (State Law)

SELECT ONE:

★Please initial below to authorize the following diagnostic testing★
(If initialed, you will NOT be receiving a call and the doctor will perform tests at their discretion)

INFORMED CONSENT FOR TREATMENT

I understand that if I checked yes to “if necessary can we sedate your pet?” that Veterinary Medicine is an inexact science and some complications can arise such as (including, but not limited to) vomiting, constipation, and in rare cases death. I give permission to treat my pet, but will not hold Hoof & Paw Veterinary Clinic liable for any unforeseen circumstances that may arise.

I understand that risks always exist with anesthesia and that I am encouraged to have pre-anesthetic bloodwork done and discuss any concerns and options with a Veterinarian before my pet is sedated.

I am also aware that during the hours of 6 pm to 6:30 am there is NOT overnight staff to continuously monitor my pet at the Hoof & Paw Veterinary Clinic, and that upon my request and expense a referral to a 24 hour emergency clinic is an option that is available to me.

I understand that Veterinary Medicine is an inexact science and there is no guarantee of successful treatment, but that it is our goal to provide the best attainable and humane care we can provide for your pet at our facility.