Hospitalization Consent Form

  • Questions

  • Procedure

  • To determine a diagnosis and begin treatment of an ill animal, certain laboratory testing or radiographs may be required. The veterinarian will call you to discuss these procedures and the associated cost if they have not done this already.
  • I am the owner or agent for the owner of the animal(s) described on this form and have the authority to execute this consent. I request that the veterinarians, agents and employees of Mainstay Veterinary Practice perform the services which are necessary to the examination, medication and treatment of the animals specifically described and identified on this form. Therefore, I hereby consent to and authorize the performance of such procedure(s) as are necessary in the veterinarian’s professional judgment. I further understand that any animal found to be infected with either external or internal parasites will be treated at my expense. I understand that the treatment of the patient will be conducted with due care and in accordance with the prevailing standards of competency in Veterinary Medicine. I assume financial responsibility for all charges incurred to the patient for services rendered and understand that full payment is required upon discharge. I understand that a written estimate of charges is available within reasonable time at my request.
  • This field is for validation purposes and should be left unchanged.