Veterinary Authorization

General Info

Veterinary Info

Veterinary Clinic's Name

Veterinary Clinic's Address

Veterinary Phone

After Hour's Emergency Clinic Info

After Hour's Emergency Clinic's Name

After Hour's Emergency Clinic's Address

Client Authorization

Agree to below Statement?

If any of the pets named above becomes ill or is injured, I request that ZenPet, LLC take the pet(s) to the veterinarian clinic listed above. I (the Client) will assume full responsibility for payment at the time of veterinary services. If the veterinary clinic named above is not available, I authorize ZenPet, LLC to take my pet(s) to another veterinarian for treatment. I understand that ZenPet, LLC cannot be held responsible for the results of the veterinary treatment or the loss of my pet(s). This agreement is valid starting on the date below while ZenPet, LLC is in the care of my pet(s).

Treatment Amount Approval

Client Signature

Client Name