Caregiver Consent Form

The purpose of this form is for you to approve any person other than yourself (i.e. spouse/partner, parent, adult child, pet sitter, dog walker, ect.) to bring your pet(s) in for services to be performed by Whiskers and Wags Animal Hospital.

I hereby appoint any authorized agent listed below as my attorney and agent to make any and all decisions for me concerning the care, medical treatment, hospitalization, and other veterinary medical decisions for my animal(s). I accept financial responsibility for the actions/decisions of my authorized agent and agree to pay any and all costs of care rendered by Whiskers and Wags Animal Hospital or its employees that were authorized by my agent. I hereby release and hold harmless Whiskers and Wags Animal Hospital and its employees from any and all liability for any actions or omission taken at the direction of any of my authorized agents.

In the circumstance that someone other than myself or an authorized agent needs to bring my pet(s) in for care, I agree to be available by phone immediately upon their arrival throughout my animal’s appointment at Whiskers and Wags Animal Hospital and understand that no treatments will be administered until my consent is given.

I understand that payment is due at the time of service, whether my pet is brought in by myself or by an authorized agent.