I, the undersigned, certify that I am the owner or authorized agent for the owner of the above-named pet and all the information is true and correct to the best of my knowledge. I authorize the veterinarians and staff of Tanasbourne Veterinary Emergency Hospital to examine and administer treatment as is deemed necessary, including diagnostics, medical procedures, and/or surgery.

I understand that veterinary care may involve risks, and while the hospital staff will do their best to explain the risks and benefits, I acknowledge that outcomes cannot be guaranteed. I accept full financial responsibility for all services provided.

I understand that payment in full is due at the time of service. We accept American Express, Visa, MasterCard or Discover. You may apply for same-day financing with either Scratchpay.com or CareCredit.com before checkout today.