I, the undersigned owner or agent of the owner, hereby consent to the examination of my pet by Pacific & Santa Cruz Veterinary Specailists (PSCVS). 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 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 PSCVS for all charges relating to this patient. I have read and agree to the treatment authorization. I have also read and accept the financial obligations.