Drop Off Treatment Consent Form Pet's Name * Owner's Name * First Name Last Name Email * Phone * (###) ### #### Please list the reason for today's visit * List any medictions or supplements that your pet is currently on I approve any bloodwork and radiographs necessary per the doctor's recommendation * Cost may vary depending on what is recommended. Yes, I would like to proceed with the doctor's recommendation. No, I decline these diagnostics at this time. I would like an estimate provided with the recommended diagnostics before proceeding. Thank you!
