Veterinary Notification | Emergency Pet Care Authorization Form

This is to inform you that I have contracted the services of McNamara Pet Services to provide pet care services.

Should my pet(s) require veterinary attention while under the care of McNamara Pet Services, I authorize   Veterinarian and/or Veterinary Office Name*   to extend treatment. * I also authorize   Veterinarian and/or Veterinary Office Name   to provide information about my pet's health and treatment options to McNamara Pet Services should veterinary care be necessary in my absence. If   Veterinarian and/or Veterinary Office Name   is not open at the time of the emergency, I authorize McNamara Pet Services to take my pet(s) to VCA Shoreline Veterinary Referral and Emergency Center in Shelton to extend treatment.
Additionally, I agree that I accept financial responsibility for the emergency care of my pet(s) and will be responsible for the payment of veterinary services.

Client Information
Owner's Name:   First Name*   Last Name*   
Address:   Street Address*   *   City*   State*   Zip*   
Phone Number:   Phone Number*   
Name of Pet(s):   Name of Pet(s)   

*Additional Instructions
I authorize emergency veterinary care costs up to $5,000*   

I Please Select DO NOT DO    authorize euthanasia without my direct consent.

In the event of my pet's death, I will for the following to be done with his/her remains:   cremated and returned to me.*   .

Please note any other exclusions to the type of care you authprize in your absence:     .