Emergency Veterinary Authorization
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Client Name *
Pet Name *
To the veteriarians at *
I give total responsibility for the care of my pets to: Waggin' Tails Critter Sitter, LLC, contact number 401-405-6618. When I cannot be contacted immediately, this Company and its owner, along with the vet, will make all decisions regarding necessary treatment in the event of a medical emergency. Initial to agree. *
I wish no more than (see below) to be spent on any one pet. Company will be reimbursed as soon as possible by owner. *
Insured? *
If any of my pets dies suddenly, I do/do not want a post mortem performed to determine the cause of death. In the event of death, it is my wish: *
In the event of sudden death, I would like my pet to be: *
Date *
MM
/
DD
/
YYYY
Please type your name to verify that you have read, understand and agree to the above agreement *
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