I, , am the owner (or authorized agent of the owner) of my pet. I hereby authorize and direct Sedro Woolley Veterinary Clinic, its veterinarians, technicians, and assistants to perform services, procedures, diagnostics, and treatments deemed necessary or advisable for my pet.

The nature of the procedure(s) has been explained to me and I understand that there is a risk of complications with every procedure, including the possibility of death as a severe complication of surgery, anesthesia, or other procedures. I also understand that there is no guarantee as to the results of the procedure, diagnostics, or treatment.

I understand that the veterinarian(s) are to use all reasonable precautions against injury, escape, or destruction of the pet, but will not be held liable or responsible in any manner, on any cause, for accidental injury, death, or escape of the pet.

I agree that hospital staff may walk my pet outside. I also understand that in the event of an emergency, it may be necessary for my pet to be taken to an emergency/specialty hospital. I authorize Sedro Woolley Veterinary Clinic and its staff to transport my pet in an emergency/specialty hospital. I understand that the veterinarian(s) are not liable for transportation or for the pet’s care once transferred.

I authorize the clinic to remove my pet from its premises if necessary and understand that it may be taken to an emergency/specialty hospital if I cannot be reached.

If I neglect to pick up my pet, a written notice will be mailed and my address to remove the animal(s). If I do not pick up the animal within