Client Forms

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New Client Form

Pet Sitter Authorization Form

To Whom it May Concern: I, owner of the pet listed below, authorize the authorized agent listed below to make emergency veterinary medical decisions, including euthanasia (unless noted below) for the animal described below in the event that I cannot be reached. Where applicable, I have also listed guidelines and limitations of care. I accept financial responsibility for the emergency care of the animal(s).

Name

First

Last

Phone *

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact *

First

Last

Emergency Phone *

Emergency Email *

Date of travel or expiration date of this form *

Animal's Name *

Type of Animal *

Age, weight, and sex of animal *

Description of animal (color, markings) *

Relevant Medical History *

Microchip Number (if available)

Vaccinations (vaccination, date) *

Medications (name, dose, frequency, route of administration, other notes)

Authorized Agent *

First

Last

Relationship to owner *

Phone of Authorized Agent *

Email of Authorized Agent *

Other Instructions, if applicable

How much do you authorize for emergency veterinary care? *

Do you authorize euthanasia without direct consent? *

I agree (yes)
I disagree (no)

In the event of my animal's death, I wish for the following to be done with his/her remains: *

I do not authorize the following procedures/treatments

Please provide a description of what is to be done in place of this procedure/treatment

Other notes

Owner's Name *

First

Last

Today's Date *

Prescription Refill Form

Please note: We do ask for at least 24 hours to fulfill all medication requests.

Client Forms

New Client Form

Owner Registration Form

Patient Registration Form

Disclaimer

Pet Sitter Authorization Form

Other Instructions, if applicable

Prescription Refill Form

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