Please have your pet’s previous medical records emailed to [email protected]
* Please notify us if your dog(s) CANNOT have Peanut Butter or Cheese as a distraction! *
I, the undersigned, do hereby certify that I am over 18 years old and am the owner (or duly authorized agent of the owner) of the animal(s) described above, and I authorize Petroglyph Animal Hospital (PAH) and/or its representatives to treat said animal(s). I further understand that no guarantee of successful treatment is being made, and I will not hold PAH responsible for my animal’s recovery. I am aware that all treatment and medication charges are in addition to the office visit/examination fee and agree to pay all charges incurred at the time of the release of my animal(s). I understand that if the animal is left at this establishment and no payment is made now, nor arrangement for payment made for a period of ten days, the animal will be considered abandoned and will be provided for at the discretion of PAH but I will still be responsible for all the charges incurred for this animal(s).
ALL FEES ARE PAYABLE AT THE TIME OF SERVICE
