I hereby authorize the veterinarian to examine, prescribe for or treat the above-described pet(s). I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges must be paid in full, at the time of release of the pet.
Please note: Submitting this form does not guarantee or confirm an appointment. A member of our front desk team will be in touch shortly to finalize scheduling and confirm your appointment time. We look forward to speaking with you!
