Veterinarian Release Form - Klaws Paws And Hooves (Kph) printable pdf download

Veterinarian Release Form - Klaws Paws And Hooves (Kph)

Veterinarian Release Form

General Information

Vet Information

Owner

Veterinarian

Dog’s Name

Address

Dog’s Age /Description

Phone / Email

Medical Conditions/Health Issues:

This is to inform you that Katheryn Weaver of Klaws Paws and Hooves (KPH) will

be caring for my dog in my absence. In the event of an emergency, I understand

that every effort will be made to contact me. If it should become medically

necessary for my dog to receive professional treatment, I give KPH permission to

transport my pet(s) to my vet, _________________________ or to the nearest

after hours Vet Emergency Hospital. I authorize medical treatment as deemed

necessary by a Vet and I understand that I am fully responsible for any and all

costs resulting from care given to my dog(s).

If the cost of medical expenses are going to exceed $____________ I wish to be

contacted immediately before further treatment is given.

I agree that KPH is released from all liability related to transportation to and from

the Vet. I agree that KPH is not in any way financially responsible for treatment

given to my dog for sickness or emergency.

This agreement will remain valid for all visits unless a new one is signed.

Client’s signature

Date

Veterinarian Release Form - Klaws Paws And Hooves (Kph)