I, the undersigned owner or agent of the owner, hereby authorize the veterinarian and support staff of Berkeley Dog & Cat Hospital to render any treatment that is deemed necessary to my pet(s) health while in custody of the hospital. I agree that after consultation with me, the hospital's Doctors may prescribe medication for, treat, hospitalize, anesthetize and or perform surgery on my pet. I understand that no guarantee can be made as to the outcome of treatment and that I am encouraged to discuss any concerns I have about the risks of treatment with the attending Veterinarian before any procedures or treatment is initiated.
I, as the owner or acting on behalf of the owner, assume responsibility for all the charges incurred in the care of this animal, including the estimate of charges provided to me in person or over the telephone. I understand that a treatment plan including an estimate of the costs for Veterinary Services will be provided to me and that I am encouraged to discuss all fees related to such care before services are rendered and during my pet's ongoing medical treatment.
I hereby authorize the name(s) above to make financial and medical decisions for the patient listed. I understand the professional fees are to be paid at the time services are rendered and a deposit is required on all pets admitted to the hospital.
I understand that I (the owner or agent) am financially responsible to Berkeley Dog & Cat Hospital for all charges relating to this patient. All accounts left unpaid after 30 days will accrue a 1.6% monthly finance charge. Past due accounts are subject to costs of collection and legal fees. I have read and agree to the treatment authorization. I have also read and accept the financial obligations.