AUTHORIZATIONI hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet(s). I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid in full at the time of release and that a deposit may be required for surgical treatment.
Thank you for taking the time to fill this out. All information will be kept confidential; client forms will be kept in a locked cabinet and shredded after 6 months.