Existing Client Form Owner Name* First Last Pet's Name*Reason for Visit?*Preferred Doctor*Preferred Date* MM slash DD slash YYYY Preferred Time* : Hours Minutes AMPM AM/PMI/we hereby authorize the veterinarians to examine, prescribe for, or treat my pets (s). I/we assume full responsibility for all charges incurred in the care of this/these animal(s). I/we also understand that these charges will be paid in full at the time of release and that a deposit may be required for certain surgical treatments or other procedures.Signature*