Geriatric Release Form


It is our desire to follow your wishes as we care for your geriatric pet. Therefore, we have created this form for your convenience. If you have any questions, or wish to discuss this matter further, please give us a call.

In the event that I cannot be reached while my pet, is boarding at ABC Pet Resort Spa, I give ABC my permission to seek medical treatment that may be needed during my absence. In the event that my veterinarian is unavailable I give ABC permission to use other veterinarians services. I agree to pay for all services, not covered by the health care warranty.

Pet Name*  
Owner Name*  
Email*  
Please read the following and check those apply.
I want all the reasonable medical measures taken to help my pet in the event of illness
I want my pet to be stabilized(if possible)until I am reached, or my emergency contact person is reached, before further medical measures are taken
In the event my pet should pass away, I would like for my pet
To be taken to my veterinarian where they will already know my wishes
To be held at ABC until my return. If ABC's facilites are unavailable, I authorize my pet to be held elsewhere
To have a necropsy(pet autopsy) done if possible, and I agree to pay all the expenses
To be cremated, and I agree to pay all the expenses