Client Information Form

I, the undersigned, owner or authorized agent of patient, hereby authorize the veterinarian and the staff of Creature Comforts Animal Hospital to act as my agent to administer such treatment, including administering topical and oral medications, and additional procedures as are considered therapeutically and/or diagnostically necessary. I also consent to the administration of such anesthetics that are necessary. I further understand that no guarantee of successful treatment is made and that the risks and probabilities of complications exist in any surgical or medical procedure. I understand any charges for services rendered, are due and payable in full at the time they are rendered, including charges incurred for unsuccessful treatment or complications. Any animal not picked up within the time required by the state statute NAC 638.051 of the Nevada State Board of Veterinary Medical Examiners shall be deemed abandoned by the owner and will be disposed of according to said statue. I understand this action will not, however, relieve me from paying all charges rendered, including any collection agency fees.

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