Consent Forms | laurelwoodvets

Overnight Hospitalization Consent Form

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Client Name

Pet Name

Phone Number

Medications my pet is currently taking and last dose given:

I understand that my pet will be staying overnight in the clinic and they will be left unattended between the hours of 6pm and 8am the following morning. I understand that there are inherent risks with leaving a hospitalized pet unattended and that there will be no staff available to assist my pet if they were in distress.

I understand that Laurelwood Veterinary Hospital will not be held accountable should injury, illness or death occur while my pet is hospitalized unattended and consent to the above.

No I do not consent to my pet staying overnight unattended and will pick up my pet prior to 6pm

I, the undersigned, do hereby certify that I am the owner (duly authorized agent for the owner) of the animal described above, that I do hereby give Laurelwood Veterinary Hospital, associate doctors and employees consent to full and complete authority to perform the procedure(s) needed to provide the best veterinary care to my pet and will be responsible for any additional fees that are required.

Yes I consent to the above

I do not provide consent for the staff to perform the procedure(s) required and will pick up my pet prior to 6pm

Furthermore, I understand that during the performance of the procedure(s) that I have authorized, unforeseen consitions may arise. Therefor, I hereby consent to and authorize the performance of such procedure(s) as are necessary in the exercise of the veterinarian's professional judgement.

I also hereby acknowledge that I understand that there are no guarantees either expressed or implied that the procedure(s) authorized will be without complications from unexpected events beyond the veterinarian's and hospital's control. In knowing this, I provide my consent.

I do not consent to the unforeseen risks involved with this procedure(s) and will pick up my pet prior to 6pm.

Date

Initials

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Laurelwood
Veterinary Hospital

Overnight Hospitalization Consent Form

Services

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