If there is another person responsible for the care of this cat, and with whom we may discuss this cat’s medical condition and needs, please fill out the following for that person.
Provide Dates for the following
How many pets in your household?
CONSENT TO TREAT AND FINANCIAL RESPONSIBILITY
I HEREBY GRANT PERMISSION TO the Cat Clinic and Hospital staff to examine and treat my cat. I assume responsibility for the charges incurred in the treatment/care of my cat as discussed with the veterinarian and/or veterinary technicians. Full payment is due at the time of your cat’s evaluation, treatment, and/or discharge. We accept cash, Visa and Mastercard. Checks are accepted with prior approval by management.