(Required) Please be advised we are not a 24 hour facility. We are NOT available for 24 hour monitoring, therefor you always have the option to transfer your pet to a 24 hour/after hour facility We are a flea free facility and reserve the right to administer Cap-star if fleas are present. Cap-star will be added to your invoice. Treatments are directed by the doctor and may be carried out by a technician. The doctor will examine the patient multiple times throughout the day. Morning and evening calls will be made by the doctor or technician after treatments are given. Incase your pet were to suffer cardiac and/or pulmonary arrest (heart or breathing stops), do you authorize us to provide life saving measures (CPR)?(Required) YES , I authorize life saving measures. i understand that if such measures are necessary, the cost of services may exceed my estimate. Electing for life saving measures can increase your estimate total NO, at this time I am electing a "DO NOT RESUSITATE" status for my pet. (Required) Visitation is allowed for all hospitalized pets with the exception of patients being kept in isolation and under rabies confinement, For the safety of owners and all other pets at home, isolation and under are not to have visitors of any kind during their stay at the hospital. I, the undersigned, certify that I am the owner of the animal described above. I authorize the doctor and technicians on duty to perform the procedure above and those described on the attached estimate. i have been informed of the potential risks. I also understand that no guarantee of successful treatment can be made. I have read and understand all of the topic discussed above.Owners nameOwner SignaturePrimary numberSecondary numberPatient nameClient number