Online Forms

Pet Sitter
Consent Form

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Pet Sitter Consent Form

Please fill out this form as completely and accurately as possible.

Owner's Name *

First

Last

Email *

Name of Pet Sitter *

First

Last

Start Date of Pet Sitting *

End Date of Pet Sitting *

Please select the following forms of treatment desired *

DO NOT treat my pet until I have been contacted.
Please stabilize my pet and then contact me before treating further.
Please use any means necessary, using the doctor's discretion, if I cannot be contacted (credit card on file required for this choice).

If my pet becomes ill on a non-urgent nature, and I cannot be contacted, please treat it up to the following dollar amount: *

A credit card on file is recommended to ensure payment of accounts. Please speak with our receptionist to do so. If a credit card is not on file at our clinic, we may refuse treatment until the owner is contacted.

Owner's Primary Phone *

Owner's Secondary Phone

I expect Salazar Road Veterinary Clinic to use reasonable care and judgment in performing the procedure(s). I realize results cannot be guaranteed. I am also aware that unforeseen events resulting from the procedure(s) will not relieve me from any obligation to all reasonable costs
incurred regarding the animal.

If your pet is to be anesthetized, advances in anesthesia and surgery have make routine procedures relatively safe with a low rate of complications. Nevertheless, occasional problems can arise due to pre-existing conditions not evident during routine pre-anesthetic examination.

Signature *

Clear Signature

Date *

Online Forms

Pet Sitter
Consent Form

Pet Sitter Consent Form

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Online Forms

Pet SitterConsent Form

Pet Sitter Consent Form

Pet Sitter
Consent Form