Fields marked with an * are required.
I, the undersigned owner or authorized agent of:
I, hereby authorize Murrieta Family Pet Hospital and its designated associates or assistants to administer such treatments and perform such procedures, including anesthesia, as are considered therapeutically and/or diagnostically necessary for the care of my pet. In the event that an emergency treatment is required and I cannot be reached, I authorize the veterinarian(s) and assistants to perform such medical treatment as is necessary to preserve the life of the patient until I can be contacted for further authorization. I understand that no guarantee of successful treatment is made or implied. I hereby release the veterinarians and assistants from any and all claims, except claims for negligence, arising out of or connected with the performance of his/her treatment.
All patients entering the hospital must be up to date on Rabies vaccine and free of parasites (fleas, ticks, etc.) or they will be treated upon entry at the owner’s expense.
I also authorize the hospital to obtain any medical information from the previous veterinarian that might be needed during the above-named patient(s) stay at the hospital.
I understand that if my pet has to remain hospitalized after the regular hours of operation, 9am-5pm MondayFriday and 9am-2pm Saturday, or more than one day, I may be charged an additional fee, as follows. I also understand no hospital staff will be present overnight.
Late Fee
Overnight Fee
