Veterinary Release

VETERINARIAN

Hospital and Vet’s Name:*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone

To the Hospital:

The Pet Sitter has been contracted to pet sit for my pet(s) and has my permission to place them in your care in case of an emergency. The Pet Sitter will attempt to contact me as soon as medical care is deemed necessary. However, in the event I cannot be reached immediately, I authorize you to treat my pet(s) and will be responsible for payment of any fees as stated below incurred at the veterinary facility for which The Pet Sitter has paid to the facility. Please file this form with my records.

Pet Owner*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Pet(s)*

Consent*

If above named veterinarian is not available, I agree that another vet in his/her practice may care for my pets. If neither of these veterinarians are available, I give permission for The Pet Sitter to take my pet(s) to the nearest animal hospital or emergency clinic.

I agree

I give permission for The Pet Sitter to approve treatment up to:*

Initials*

Liability Release*

I understand that The Pet Sitter assumes no responsibility for the loss of any pet and is released from all liability related to transportation, treatment and expense.

I agree

Other conditions, if any:

My pet(s) has/have the following health issues:*

This consent for treatment has no expiration date unless otherwise noted.

Client Name*

Date*

Signature*

VETERINARIAN

To the Hospital:

MAIL

CALL

FIND US

OFFICE HOURS