As the owner, or authorized agent of the pet listed above, I hereby give my consent to the veterinarian(s) and/or trained veterinary personnel at Richland Animal Clinic to perform the necessary testing and/or procedures as listed above. While I trust the veterinarian(s) and veterinary support staff to use reasonable care and judgment in performing the procedure(s), I understand that during this process, emergency, or unforeseen conditions may make it necessary for the veterinarians(s) and/or support staff to perform additional procedures, or modify current procedures that are in my pets' best interest.
While I expect all procedures to be done to the best of the abilities of the professional staff, I understand that no guarantee or warranty has been made regarding the results or cure. I understand that I assume financial responsibility for all services. Payment is due in full at the time services are rendered. My signature on this form indicates that any questions I have regarding the procedure, recovery or potential complications have been answered to my satisfaction.
I understand if I abandon my pet and do not make contact with Richland Animal Clinic within ten days of the day my pet is scheduled to be picked up, the animal will be considered abandoned and may be disposed of as the doctor sees fit. This does not relieve me from paying all costs of all services for the duration of the pets stay at Richland Animal Clinic, including boarding.
I, being responsible for the above animal, have the authority to grant my consent to receive, prescribe for, treat and/or operate upon my pet.
I have carefully read, understand, and agree to all of the above: