The Critter Sitters
22 Mineral Street
Ipswich, MA 01938
978-257-3461
www.thecrittersittersonline.com
Veterinary Release Agreement
In the event that any of my pets appear to be ill, injured or at significant risk of experiencing a medical problem while in the care of The Critter Sitters, I hereby give my permission to The Critter Sitters to seek Veterinary care for my pet.
My preferred Veterinary services are listed below. If my preferred Vet is not available, I give my permission to take my pet to another Vet that The Critter Sitters deems responsible and acceptable.
I understand that efforts will be made to contact me regarding any treatments, illness or injury as soon as contact is possible. I agree to allow The Critter Sitters to use their best judgement in handling these situations.
I will assume full responsibility for the payment and/or reimbursement for any and all Veterinary services rendered. I also agree to be responsible for all special service fees assessed by The Critter Sitters for emergency transportation, care and additional supervision, if needed, of my injured or ill pet.
I further authorize The Critter Sitters and my primary Veterinarian(s) to share all medical records of all my animals in the event of an emergency, in the interest of providing the best care for my ill or injured pet.
This agreement is valid from the date below and grants permission for future veterinary care without the need for additional authorization each time The Critter Sitters cares for my pet(s). I understand that this agreement applies to all of my pets under The Critter Sitters care.
In signing this agreement, I confirm that I have the authority to make health, medical and financial decisions regarding any of my pets that need service.
Veterinarian____________________________________Phone________________________________
Veterinarian address__________________________________________________________________
Client/Owner Name__________________________________________________________________
Client/Owner Signature__________________________________________Date________________
