Pet Care Release Form

This form will authorize Northern Animal Clinic to provide veterinary treatment for your pet  while under the care of someone other than yourself. Your pet must be a current patient of Northern Animal Clinic (examined within the previous year) to be eligible.

In the event of an emergency the caregiver named below has my permission to transport my pet(s) to Northern Animal Clinic for veterinary care and treatment. I have provided an emergency contact number. In the event that I am not available, the named caregiver has my permission to initiate treatment.