Due to the severe winter storm, we will be closed on Monday, 2/23.

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Is this person authorized to make medical decisions?

Is anyone else authorized to make medical decisions for your pet?

Pet information

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I authorize the veterinarian/staff of Hospital for Veterinary Surgery to examine, treat, and prescribe for the above described pet. I understand that all hospitalized patients must be vaccinated for rabies. I assume financial responsibility for all charges incurred in the care of the animal. I also understand that payment is due in full at the time of services rendered.To help us keep you informed about your pet’s care, we may send SMS/text messages related to appointments, scheduling, care instructions, follow-up communications, and other service-related communications. By checking this box, you consent to receive these messages from Hospital for Veterinary Surgery. We recommend opting in so you can receive timely updates and important information related to your pet’s care. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out or HELP for help.

I grant Hospital for Veterinary Surgery, its representatives and its employees the right to take and/or use photographs of my pet(s). I authorize Hospital for Veterinary Surgery, as it assigns and transfers to copyright, use and publish the same print and/or electronically without compensations. I agree that Hospital for Veterinary Surgery may use such photographs of me and/or my pet(s) with or without my name and/or my pet(s)name and for any lawful purpose, including but not limited to publicity, illustration, advertising and web content.

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