Boarding Emergency Agreement Form

The Boarding Emergency Agreement Form lets our team know how to proceed if your pet requires medical attention during boarding and we are unable to reach you or your emergency contact.

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Cute puppy sitting on the chair looking into the camera

Complete the Form Below

Owner’s Name *

First

Last

Owner’s Email *

Groesbeck Animal Hospital makes every effort to ensure your animal has a safe stay while boarding at our facility. Sometimes there are circumstances that occur that are beyond our control, and we need to know what you would like to do in case of an emergency. We will make every attempt to contact you, the owner, or your emergency representative. If we are not successful, we need to know what measures, medically and financially, you would like us to take.

Please Indicate Below Your Preference and Initial Your Choice

Checkboxes

Please do all that the doctor feels is necessary with my pet’s best interest in mind, until I, or my emergency representative is contacted.

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Please do the minimum that will keep my pet comfortable until I, or my emergency representative is contacted.

I do not wish to exceed charges over

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I do not wish any medical services to be performed on my pet, regardless of the severity of the condition (including resuscitation effort)

Checkboxes (copy) (copy) (copy)

I the undersigned, do agree to pay all charges incurred during my pet’s stay and will not hold Groesbeck Animal hospital responsible for any unsuccessful treatments

Print Name *

Owner Signature *

Clear Signature

Date *

Message

Boarding Emergency Agreement Form

Complete the Form Below

Please Indicate Below Your Preference and Initial Your Choice

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