Patient Admission Form

You are to use all reasonable precautions against injury, escape, or death of my pet. The clinic and staff will not be held liable for any problems that develop provided reasonable care and precautions are followed. I understand any problem that develops with my pet while I am absent will be treated as deemed best by the staff, veterinarians, and I assume full responsibility for the treatment expense involved. If I neglect to pick up my pet within five days of the date above and do not notify you within that time period, you may assume that the pet is abandoned and are hereby authorized to dispose of the pet as you deem best and/or necessary. In order to control fleas and ticks in our facility, if your pet is found harboring parasites on admission, he/she will not be admitted or will be treated and your account charged accordingly.