Hospitalization Consent Form

I hereby consent and authorize Lifetime Pet Center to prescribe for, treat, or operate upon:

I have been advised of the risks associated with treatments and/or surgery. I thoroughly understand that I assume all risks and will take responsibility for payment of services rendered.

Lifetime Pet Centers will use all reasonable precautions against injury, theft, escape, or destruction of the animal listed above, but will not be held responsible in any manner whatsoever on account of the care, treatment, or safekeeping of the animal described above, as long as accepted procedures of veterinary medicine have been followed.

It is also noted that my pet will be vaccinated if medically necessary or if recommended by the prescribing doctor to protect the safety of my pet and the staff handling my pet. In addition, if my pet is found to have fleas, ticks, or other parasites, internal or external, while in the hospital, they will be treated as deemed appropriate by the doctor and staff. Please notify us if your pet has any allergies or drug sensitivities.

After reading the above, I have signed to acknowledge receipt and understanding:

Procedure being admitted for:Hospitalization

Your pet is being admitted for hospitalization. We may discover additional conditions or complications while your pet is here, which can incur additional charges.

By signing below, you acknowledge the estimate provided to you for hospitalization and associated costs is not a guaranteed price for services. There are often unforseen circumstances that could result in an increased cost for the care of your pet. We will make a reasonable effort to inform you and gain consent for additional services before proceeding.