We have had requests for on-line forms that can be printed out and completed at your convenience, prior to your visit with us.

Below is one of the most frequently requested forms.

I, ___________________________, give full authorization to Governor Animal Clinic to treat my pet (s) in my absence. 

I also give their caretaker (pet sitter, boarding facility) full authorization to bring my pet (s) to Governor Animal Clinic, on my behalf, for treatment. 

I understand that I am financially responsible for all costs incurred due to any treatments rendered, at time of service provided.

Signature of owner _________________________________

Print name________________________________

Date _______________________

Emergency phone ___________________________