treatment permission form

I give permission for All Creatures Veterinary Hospital, Inc. to treat my animal(s) named above during my absence in the event that he/she is in need of any veterinary medical attention.

I give permission to

to bring my animal(s) to the clinic for me.

set a dollar amount on the treatment.

I do not wish treatment above this amount

If my animal(s) cannot be saved or treated within this et amount, I wish to have the animal humanely euthanized.

I can be reached at

Effective dates

Special Instructions (i.e. diet, current medications, conditions, allergies)
How will payment be made