Pet Emergency Contact Form


P.O. Box 305
Carpinteria, CA 93014
Tel.: (805) 448-1186



 


 

I authorize all medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/ or hospital procedures as may be preformed or prescribed by the attending physician and or paramedics for my pet and waive my right to informed consent of treatment. This wavier applies only in the event that neither parent/ guardian can be reached in case of emergency.

I give permission for my pet to go on field trips. I release 24/7 Nanny and individuals from liability in case of accident during activities related to 24/7 Nanny, as long as normal safety procedures have been taken.

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Signature Certificate
Document name: Pet Emergency Contact Form
Unique Document ID: fd26cfaf2bb8a996a082ed2f787b6bf52fda6888
Timestamp Audit
April 18, 2018 11:21 am PDTPet Emergency Contact Form Uploaded by Rachel Oatis - info@247nannysb.com IP 98.182.31.156
October 10, 2018 9:37 am PDT Document owner info@247nannysb.com has handed over this document to jrnewell805@gmail.com 2018-10-10 09:37:24 - 98.182.31.156