Veterinary Release Agreement

In the event that any of my pets or large animals appears to be ill, injured, or at significant risk of experiencing a medical problem at the start of service or while in the care of KYPSAH Pet Services, I give permission to KYPSAH Pet Services to seek veterinary service from a veterinarian or a veterinary clinic.

I understand that KYPSAH Pet Services and its staff assume no responsibility for the actions and decisions of the veterinary staff, the health, or death of my pet(s).

I understand that all efforts will be made to contact me regarding any treatments, illness, injury, or potential problems as soon as the condition is deemed not life threatening and/or contact is possible.

I understand that KYPSAH Pet Services’ care providers work hard to prevent accidents and injuries, and that such problems may occur no matter how well a pet is cared for.

I agree to allow KYPSAH Pet Services’ care providers to use their best judgment in handling these situations.

I will assume full responsibility for the payment and/or reimbursement for any and all veterinary services rendered, including but not limited to, diagnosis, treatment, grooming, medical supplies, and boarding. Such payments will be made within 14 days of the initial incident.

I also agree to be responsible for all Special Service fees assessed by KYPSAH Pet Services for emergency transportation, care, supervision, or hiring of emergency caregivers, and will pay such fees within 14 days of each incident.

I further authorize KYPSAH Pet Services and my primary veterinarian(s) to share all of the medical records of all of my animals with veterinary clinics in an emergency in the interest of providing the best care for all ill or injured animal(s).

Every dog, cat, and horse at the site of service will be current (per my veterinarian’s recommendations) on its rabies vaccinations prior to the arrival of any caregiver. I will also make arrangements to guarantee that each animal will remain current on its rabies vaccinations throughout each service visit period.

I agree to notify KYPSAH Pet Services of any signs of injury or possible illness before any scheduled service as soon as the condition appears.

This agreement is valid from the date below and grants permission for future veterinary care without the need for additional authorization each time KYPSAH Pet Services care for one or more of my pets.

I understand that this agreement applies to all of the pets and large animals within KYPSAH Pet Services’ care.
In signing this contract, I agree that I have the sole or shared authority to make health, medical, and financial decisions regarding the animals that will be scheduled to receive service.

Your signature below constitutes your signature.

Leave a Reply

You must be logged in to post a comment.