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Drop Off Services with Doctor Consent Form

Drop Off Services with Doctor Consent Form

  • Medical History

  • Note: ALL PETS ADMITTED TO THIS HOSPITAL MUST BE CURRENT ON VACCINATIONS ACCORDING TO Piper Glen Animal Hospital STANDARDS. **Treatment of parasites (for example fleas or ticks) will be done at the owner’s expense**

    Piper Glen Animal Hospital and its staff take all precautions necessary during services and/or procedures to maintain the well being of my pet(s). By signing below, I authorize the services and/or procedures listed above. The natures of the procedures and the risks involved have been properly explained to me and I realize results cannot be guaranteed. I further acknowledge that unforeseen events resulting from the procedures and/or services will not relieve me from any financial obligation incurred regarding my pet(s). I hereby acknowledge responsibility for making arrangements for my pet(s) pick up before closing on the day listed above unless other arrangements are made in advance and approved by Piper Glen Animal Hospital. I understand that payment is due in full and is expected at the time services are rendered. Failure to retrieve my pet within 10 days will cause my pet to be considered abandoned and my pet will become the property of Piper Glen Animal Hospital.