Dog Walking Pals - Walk*Hike*Play
Veterinary Release Form
Dog Walking Pals takes excellent care of your pets.  However, it is important to be prepared in the event of an emergency. 
Veterinary Release Form
Pet Names
In the event that my preferrred veterinary clinic is unavailable, other veterinarians or emergency care clinics chosen by dog walking pals is acceptable
Yes
No
I ask Dog Walking Pals to inform the attending clinic of my requested total diagnosis and treatment limit of $________ per pet. (most common values are $200, $500,$1000, Unlimited)
I understand that Dog Walking Pals care providers work hard to prevent accidents and injuries, and that such problems may occur no matter how well cared for. I agree to allow Dog walking Pals, care providers to use their best judgement in handling these situations, and I undderstand that Dog walking pals and their staff assume no responsibility for the actions and decisions of the veterinary staff, the health, or death of my pet (s). I understand that Dog walking pals will make all efforts to contact me regarding the treatments of my pet, or potential problems as soon as the condition is deemed not life threatening.
yes
No
I authorize Dog Walking Pals and my primary veterinarian to share all medical records of my animals with emergency vet clinics in an effort to providing the best care for my pet. I agree to assume full responsibility for payment and or reimbursement for any and all veterinary services rendered. Such payments shall be made within 14 days of the initial incident
Yes
No
This agreement is valid from the date below and grants permission for future veterinary care without additional authorization each time Dog Walking Pals cares for my pets.
In the Event that any of my pets appear to be ill, injured or at significant risk of experiening a medical problem at the start of service or while under the care of Dog Walking Pals. I give permission to Dog Walking Pals to seek veterinary service from a veterinarian or veterinary clinic.
Yes
No
Authorizing Signature/Date