Consent For Treatment Form

I am the owner or the authorized agent for the owner of the animal described above, and I have the authority to execute this consent. My signature below certifies that I am over eighteen years of age.

I agree to make myself available by phone between the hours of 8:00 am and 5:00 pm if my pet is at TLC Animal Hospital. Additionally, I authorize TLC Animal Hospital to perform any diagnostic tests, medical treatments, or surgical procedures as deemed necessary by the veterinarian unless declined by myself, the owner of the pet.

I will not hold TLC Animal Hospital, the veterinarians, or any hospital staff members liable for any complications that may arise during the care and treatment of my pet. I am encouraged to discuss any concerns I have about these risks with the attending veterinarian prior to the procedures.

I understand the practice of veterinary medicine is not an exact science, and thus, there are no warranties or guarantees that can be awarded to me regarding the results or a cure afforded by the treatments performed today. I have been awarded the opportunity to discuss any questions I may have regarding the care of my pet to my satisfaction, and it is my responsibility to do so. I accept that my financial obligation remains regardless of any outcome.

I will not hold liable TLC Animal Hospital, the veterinarian, or any hospital staff members for the loss or damage of any personal items, including leashes, collars, and blankets that are left at the hospital by me, the owner.

If I neglect to pick up my pet or any personal items within a five-day timeframe from the date indicated on this form, then Grand Central Veterinary Hospital will assume abandonment of my pet or personal items.

By signing this consent form, I agree to pay in full by the end of business today for all services rendered, including those deemed necessary by the veterinarian for any medical complications or unforeseen circumstances. Furthermore, I understand that, regardless of the outcome of my pet's treatment, I am responsible for payment of the procedures performed today. If for any reason there are financial restrictions associated with this visit, it is my responsibility as the owner to notify a staff member immediately of such limitations.

I have read and understood this authorization and acknowledgments, and I hereby accept and consent to its terms and the treatment of my pet.