By signing below, I confirm that I am the owner of the patient(s) listed in this registration or that I am authorized by the owner to make decisions regarding their veterinary care.

Veterinary Care & Authorization

I authorize Veterinary Diagnostic Center (VDC) and its veterinary team to examine my pet(s) and provide veterinary care that I approve. I understand that additional diagnostic tests, treatments, procedures, hospitalization, sedation, anesthesia, or other services may be recommended and that additional authorization may be requested when appropriate.

Medical Risks & Outcomes

I understand that veterinary medicine involves inherent risks and that reactions, complications, or unexpected outcomes may occur despite appropriate care. I understand that no guarantee or warranty has been made regarding the outcome of any examination, diagnostic procedure, treatment, medication, sedation, anesthesia, or other veterinary service.

Medication, Vaccine & Treatment Reactions

I understand that vaccines, injectable or oral medications, preventive treatments, contrast agents, sedatives, and other veterinary products or treatments may occasionally cause adverse reactions. These reactions may be mild or, in rare cases, serious or life-threatening, including allergic or anaphylactic reactions, and may occur after the patient has left VDC.

If my pet develops signs of an adverse reaction or medical emergency after leaving VDC, I understand that I should contact VDC promptly when the hospital is open. If VDC is closed, unavailable, or the situation requires immediate medical attention, I understand that I should seek care at the nearest veterinary emergency facility without delay.

I understand that emergency evaluation, hospitalization, diagnostic testing, treatment, and other services provided by an outside emergency or specialty facility are separate from the services provided by VDC and may result in additional charges for which I am financially responsible.

Emergency Medical Decisions

If an unexpected medical situation occurs while my pet is under VDC's care, I authorize the veterinary team to provide reasonable immediate care necessary to stabilize my pet when, in the veterinarian's professional judgment, delaying care could place my pet's health or life at risk. VDC will make reasonable efforts to contact me or my authorized representative as soon as practicable.

Communication & Medical Information

I authorize VDC to contact me regarding my pet's medical care, appointments, diagnostic results, treatment recommendations, prescriptions, follow-up care, and other matters related to the veterinary services provided. I understand that communication may occur using the contact information I have provided.

Financial Responsibility

I understand that I am financially responsible for veterinary services provided to my pet(s). Estimates are provided when applicable but may change if my pet's medical condition or treatment needs change. I understand that I may ask questions regarding recommended services and associated costs before authorizing care, except when immediate stabilization is reasonably necessary in an emergency as described above.

Personal Property

I understand that collars, leashes, carriers, blankets, toys, and other personal belongings may accompany my pet. I acknowledge that VDC cannot guarantee against loss or damage to personal items and I am encouraged to retain valuable or irreplaceable belongings.

Acknowledgment & Opportunity to Ask Questions

I acknowledge that I have had the opportunity to read this document, ask questions, and request clarification before signing. I understand that I may ask questions about my pet's care, proposed diagnostic tests, treatments, alternatives, expected costs, and potential risks before providing authorization.

By checking the acknowledgment below and signing electronically, I confirm that the information I have provided is accurate to the best of my knowledge and that I understand and agree to the authorizations and acknowledgments stated above.