Drop-Off Consent

Client Information

Feeding Information

Medication Information

List all medications your pet is taking.

Allergies

Services

Which services are you interested in?

Statement of Ownership and Consent

Your signature below indicates that you have read, understand, and agree with our Policies and Procedures

I hereby authorize the hospital staff to do whatever is necessary should an emergency situation arise. If sedation is necessary for treatment or handling, I give permission to Shore Haven Veterinary Hospital to administer such medications and agree to pay all charges incurred. I am the owner of the above-described animal or have authorization from the owner to consent to its treatment. In the event my dog contracts a communicable disease during the time he/she is attending the Animal Inn, I assume the risks and accept responsibility for the costs for all treatments. I understand that the doctors and staff of Shore Haven Veterinary Hospital will use all reasonable precautions against injury, escape or illness of my pet. However, I understand that the above may occur while caring for my pet and I will not hold Shore Haven Veterinary Hospital, its doctors and/or its staff, liable or responsible in any manner whatsoever, as it is understood and acknowledged that I assume all risks. This form/agreement is valid until such time that my pet’s care instructions change, and I am responsible for notifying Shore Haven Veterinary Hospital should that occur. I have read and understand all precautions, limitations and exclusions set forth in this form/agreement, and all of my questions have been fully answered and all pricing has been disclosed to me. I hereby accept all financial responsibility for any and all professional services rendered in the best interest of my pet’s health.