Please read carefully:
I am the owner (or agent of the owner) of the animal described above. I hereby authorize Coffee Road Animal Hospital. to perform such diagnostic, anesthetic, and surgical procedures as are necessary and advisable for the treatment and maintenance of my pet’s health and well being. While I expect all procedures to be done to the best of the abilities of the professional staff; I realize that no guarantee or warranty can ethically or professionally be made regarding the results or cure. In the event that my animal should, for some unforeseen reason, injure itself, escape, fail to eat, become ill, or die, I will not hold Coffee Road Animal Hospital, Inc. or its employees responsible. Please be aware that if your pet requires an overnight stay in our hospital, supervised care is not provided overnight. I authorize the hospital director and staff to provide veterinary service as requested or in emergency circumstance to follow through with such procedures as are necessary for the well being of my pet on a continuing basis until further advised.