Veterinary Release Form Page 3

I hereby authorize the attending veterinarian to treat any of my pets as listed above and I accept full

responsibility for all fees and charges incurred in the treatment of any of my pets.

The Dog Walker is authorized to transport my pet(s) to and from the veterinary clinic for treatment

or to request "on-site" treatment if deemed necessary. If I cannot be reached in case of an

emergency, the walker shall act on my behalf to authorize any treatment excluding euthanasia.

I give permission to approve treatment up to £1,000.

I will assume full responsibility upon my return for payment and/or reimbursement for veterinary

services rendered up to the above stated amount

Dog walker - Full Names: __________________________________

Dog walker - Signature: __________________________________

Dog Owner's Signature: _______________________________

Date: _________________________________________

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Parent category: Medical