Veterinarian Information

Veterinarian Name and Hospital: _____________________________________________
Address: _________________________________________________________________
Telephone: _______________________________________________________________

Wags N More Care Giving is caring for my pet in my absence and has my permission to place
my pet in your care in the event of an emergency or a medical condition. I understand that you
will contact me regarding the medical care/treatment of my pet in my absence. If I am unable to
be reached, I give you permission to treat my pet and I will be responsible for payment of the
fees as deemed necessary.
___________________________________________
Client Signature
___________________________________________
Date

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