Medication Waiver
Whiskers2Tails Pet Care employees are given permission to administer medication to my pet(s) listed below. My pet is presently under the care of a veterinarian who has prescribed the following medication(s).

I have explained dispensing information and the effects of this medication to W2T.

I acknowledge that W2T services will be performed in accordance with my instructions. I waive any claim against W2T unless they are negligent and do not perform as agreed.

Listed below are dispensing instructions and emergency information. (Please list each animal and their medication information separately. Be sure to put frequency and amount of medications to be given.) *
Your answer
By typing their name below, Client agrees to the above agreement and agrees that this document is equal to one that is signed in person. *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service