I hereby authorize the veterinarian to examine, prescribe for or treat the above described pet. I assume responsibility for all charges incurred in the care of the animal. I understand that payment is due at the time of service. GSAH is always happy to provide you with any treatment estimate at your request.

Your pet’s medical history is confidential, between you and your doctor. If you are planning to board, groom or treat your pet at another location and would like your animal’s records released (including any vaccination history) please sign the consent below.

I authorize Griffith Small Animal Hospital and its employees to release records they may have concerning examinations, treatments, vaccination, history, prescriptions, and other medical information relating to my pet.