FORMS

Red River K9 II LLC Veterinary Release Form

Owner's Name *

First

Last

Pet's Name

TO WHOM IT MAY CONCERN I hereby authorize the attending veterinarian to release all medical records, medical treatments, along with treating my pet(s) listed above while under the care of Red River K9 II. I accept full responsibility for all fees and charges that are incurred for treatment or required medications for any pets listed above. Red River K9 II is authorized to transport my pet(s) to and from the veterinary clinic for treatment as deemed necessary. If I cannot be reached in case of an emergency, Red River K9 II shall act on my behalf to authorize any treatments. Providing authorization will be utilized from the time of authorization through the term of all services with Red River K9 II. *

Owner Signature *

Clear Signature

Owner Name *

First

Last

Date