AAPC Vet Authorization

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  • Ark Angels Pet Care

    Nadia Bond – Owner

    VETERINARIAN RELEASE FORM

  • This form will be retained on file and will be used to authorize veterinary treatment in the event that your pet(s) require treatment during your absence, and we are unable to contact you at the time. Should you change veterinarians please notify Ark Angels Pet Care before service dates.
  • To whom it may concern: During my absence, a representative of Ark Angels Pet Care will be caring for my pet(s). I give Ark Angels Pet Care my permission to transport my pets to my veterinarian (or to an emergency clinic). In the event I cannot be reached, I authorize Ark Angels Pet Care to act as an agent on my behalf regarding my pets’ medical care. I accept full responsibility for charges incurred in the treatment of my pet(s), not to exceed the following amounts:

  • Ark Angels Pet Care reserves the right to utilize the services of any available veterinary clinic. If time permits, we will attempt to utilize your primary veterinary clinic. If it is not practical to do so, the following information will be helpful if the clinic we utilize requires documentation from your primary clinic.
  • Closest Emergency Vet/Animal Hospital
  • I authorize veterinary treatment for my animal(s) during my absence. I understand that Ark Angels Pet Care assumes no responsibility for the loss of any pet and is released from all liability related to transportation, treatment, and expense. I understand that I will be responsible for any and all charges incurred during the treatment of my pets according to the conditions of this authorization. In the event of the death of my pet and I am unable to be reached, I request the following to be done:
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Ark Angels Pet Care
    Nadia Bond - Owner
    8311 Brier Creek Parkway Ste. 105-243
    919-782-5421 Office

  • This field is for validation purposes and should be left unchanged.