Veterinarian Release Agreement

  • In the event that any of my pets appear to be ill, injured, or at significant risk of experiencing a medical problem at the start of service or while in the care of Pupsicles Dog Care, I give permission to Pupsicles Dog Care to seek veterinary service from a veterinarian or a veterinary clinic. My preferred veterinary services are up to date and listed on the client portal online before the scheduled Meet & Greet. Other veterinarians or emergency care clinics chosen by the pet sitter are acceptable.

    I ask Pupsicles Dog Care to inform the attending clinic or veterinarian of my requested total diagnosis and treatment limit of $500 per pet / all pets. I understand that efforts will be made to contact me regarding any treatments, illness, injury, or potential problems as soon as the condition is deemed not life-threatening and/or contact is possible. I understand that Pupsicles Care Providers work hard to prevent accidents and injuries and that such problems may occur no matter how well a pet is cared for. I agree to allow Pupsicles Care Providers to use their best judgment in handling these situations, and I understand that Pupsicles Dog Care and its staff assume no responsibility for the actions and decisions of the veterinary staff, the health, or death of my pet(s).

    I will assume full responsibility for the payment and/or reimbursement for any and all veterinary services rendered, including but not limited to diagnosis, treatment, grooming, medical supplies, and boarding. Such payments will be made within 14 days of the initial incident. I also agree to be responsible for all Special Service fees assessed by Pupsicles Dog Care for emergency transportation, care, supervision, or hiring of emergency Care Providers, and will pay such fees within 14 days of each incident.

    I further authorize Pupsicles Dog Care and my primary veterinarian(s) to share all of the medical records of all of my animals with veterinary clinics in an emergency in the interest of providing the best care for my ill or injured animal(s).

    Every pet at the site of service will be current (per my veterinarian's recommendations) on its rabies vaccinations prior to the arrival of any Care Provider. I will also make arrangements to guarantee that each animal will remain current on its rabies vaccinations throughout each service visit period.

    I agree to notify Pupsicles Dog Care of any signs of injury or possible illness before any visit as soon as the condition appears. Pupsicles Dog Care reserves the right to cancel service at any location where a pet with a potentially infectious condition exists. Pupsicles Dog Care strives to provide clean, safe service to each of our clients. In doing so, Pupsicles Dog Care strongly recommends that each pet be vaccinated, dewormed, and protected from harmful insects according to veterinarian recommended standards.

    This agreement is valid from the date below and grants permission for future veterinary care without the need for additional authorization each time Pupsicles Dog Care cares for one or more of my pets. I understand that this agreement applies to all of the pets within Pupsicles Dog Care care.

    In signing this contract, I agree that I have the sole authority to make health, medical, and financial decisions regarding the animals that will be scheduled to receive service.

  • Date Format: MM slash DD slash YYYY