Veterinary Release Form
Veterinarian Name:
Address:
Phone #:
To the Veterinarian – Hospital
<Name of your Company> has been contracted to pet sit for my pet(s) and has my permission to place them in your care in case of an emergency. <Name of your Company> will attempt to contact me as soon as medical care is deemed necessary. However, in the event I cannot be reached immediately, I authorize you to treat my pet(s) and will be responsible for payment of any fees as stated below. Please file this form with my records.
Pet Owner:
Address:
Phone – email:
Pet(s):
If above-named veterinarian is not available, I agree that another vet in his/her practice may care for my pets. If neither of these veterinarians are available, I give permission for <Name of your Company> to take my pet(s) to the nearest animal hospital or emergency clinic.I give permission for <Name of your Company> to approve treatment up to $_______. (Initial ______)
I understand that <Name of your Company> assumes no responsibility for the loss of any pet and is released from all liability related to transportation, treatment and expense.
Other conditions, if any:
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Tools of the Trade
Shoes
Sole inserts
Clothing
White for summer
Darker for colder weather
Shorts
T-Shirt or short-sleeve shirt
Hat with sun visor
Sweatband
Sunglasses
Long Pants
Long sleeve shirt
Jacket with hood
Stocking hat
Ear muffs
Gloves
Scarf
Handkerchief
Towel for self
Fanny Pack
Carabiner with cord for keys
Smart phone
Storage clip board
Extra blank forms
Dog treats
Extra pens
Binder for daily forms & keys
Brief case
Pens
Business cards
Poopie bags
Leashes
Double Leashes
Extra collars
Facemask
Shoe Covers
Towel for pets
Portable vacuum cleaner
Rug shampoo
Garbage bags
Pet poop spray
Air freshener
Dog and cat treats in containers
Lunch on ice in Igloo
Camping cutlery
More than enough to drink, preferably water
Thermos of coffee or tea
Baby Wipes, non alcohol
Tissues
Umbrella or poncho
Bucket for wet umbrella or poncho
Small bucket with plastic bag for trash
Various plastic bins to store equipment
Knife or scissors
Bicycle rear-view clip-on mirror for glasses
First aid kit
Can of wasp spray for protection
Automobile needs
Plastic signs for car
Computer with printer and internet connection
Word processor
Spreadsheet
Filing cabinet
Hanging files with manila folders
Calculator
Label maker
