Permission To Evaluate And Treat
I authorize the veterinarians at Litchfield Veterinary Hospital, 289 Torrington Rd., Litchfield, CT., to examine, treat and provide medical care to my pet including all diagnostics deemed necessary for a medical evaluation. A treatment plan will be reviewed with the trainer/ caregiver and the doctors will proceed.
If my pet is brought in on an emergency basis and requires immediate intervention, including surgical intervention, the doctors at Litchfield Veterinary Hospital have permission to treat as deemed necessary for the well being of my pet.
I understand I will be responsible for all expenses incurred in the treatment of my pet. Payment arrangements must be made prior to the appointment by contacting our office.
By submitting this form I consent that all information is accurate and give Litchfield Veterinary Hospital, it's doctors and staff, permission to provide medical care, as outlined above, for my pet(s).