Shop Local with Autoship

Online Form

Sedation Authorization and Release Form

Please complete the following form before your visit!

dog in the lap of its owner

Sedation Authorization and Release Form

Consent and Authorization Statements

Brief History
Green Code: Begin lifesaving interventions, including CPR and drug administrations as deemed necessary by the veterinarian. I agree to assume financial resposibility for all emergency services rendered.(minimum4100.00)
Red Code: I decline lifesaving interventions or drug therapies

Full payment is expected at the time of discharge.

I have read and understand this authorizaion and consent

Clear Signature

Numbers where you can be reached today: