If I am unavailable, the individual(s) named above is/are authorized to make medical, surgical, and financial decisions on my behalf.
I hereby authorize the staff of Clarke Animal Hospital to render any treatment which is deemed necessary to my pet(s) health while in the custody of the hospital. I understand that in the event of any unusual or emergency circumstances, the staff will make every attempt to contact me or my authorized agent before, if time permits, proceeding with treatment. I understand that I will be financially responsible for all emergency procedures including the Estimate of Charges provided to me in person or over the phone. I understand that professional fees are to be paid at the time services are rendered and a deposit is required on all pets admitted to the hospital.
