Authorization to Provide Care

I hereby certify that I am the owner of the above-name animal or am an authorized responsible party for him/her and have the authority to execute this consent.

I hereby authorize the performance of the following procedure(s):

I understand that my pet may be transferred to or from Cactus Creek Animal Hospital pet transport if needed and I authorize the receiving hospital to provide care as well.

I agree to indemnify and hold Cactus Creek Animal Hospital harmless from and against any and all liability arising out of the performance of any of the procedures referred to above or from any liabilities in transportation internally or from a third party.