Pet Information

Type(s):

Name(s):

Birthdate(s):

Known Medical Conditions:

Veterinarian Information

Veterinarian:

Address:

Phone:

Authorisation & Consent

During my absence, Allday Pet Care will be caring for the above pet(s). In the event of an
emergency, I authorise you (veterinarian) to administer medical treatment and will be
responsible for payment to you (veterinarian) upon my return.

I, give Allday Pet Care permission to transport my pet(s) to
the above veterinarian and authorise treatment in the event of an emergency or sickness.

If this veterinarian is not available, I authorise Allday Pet Care to transport my pet(s) to a
veterinarian of choice and authorise treatment. If emergency care is needed after regular
office hours, my pet(s) may be taken to the nearest veterinary hospital.

I give permission to Allday Pet Care to approve treatment up to £
No limit

I agree to be responsible for all charges upon my return including, but not limited to, vet
fees, extra visit fees and transportation fees.

I agree that Allday Pet Care is released from liability related to transportation to and from
veterinarian and treatment for sickness or emergency. This release will remain valid for all
current and future visits unless a new release is signed.

I have read and agree to the authorisation, responsibility for charges, and liability release stated above.

Signature & Date