If I cannot be reached at the number provided, I authorize initial diagostics, including radiographs and bloodwork if indicated for my pet. Further, if I cannot be reached, I authorize initial treatment, including fluid support and other supportive medications be started as indicated for my pet.
I understand payment is due when my pet is discharged, however, a deposit may be required after an estimate is prepared and discussed. I accept financial responsibility for charges incurred for this pet.
I am the owner/ agent for described animal, authorize, and request an exam for my pet. I am of legal age.