Drop Off Annual Exam Appointment Form

Owner's name and information:

Optional Services:

Pick Up Instructions:

There is no set pick up time for drop-off appointments. Please plan for pick up at 5pm on regular working days. If we are done sooner, we will call you to pick up at an earlier time. If your pet is not picked up by closing time an additional overnight boarding fee will be applied.

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Authorization to Treat:

I here by authorize the attending veterinarian to examine and treat my pet. I accept full responsibility for ALL FEES AND CHARGES incurred in the work up and treatment of my pet. I understand there may be unforeseen complications with treatments. Brawley Animal Hospital's vet and staff will do their best to diagnose and successfully treat my pet but I understand that not one single test may/will be able to diagnose my pet, as well as that the success of treatment cannot be guaranteed. Brawley Animal Hospital will call to approve if any additional testing beyond what is presented on the estimate I have

signed.

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