Medical Treatment Consent Form Page 2
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2I am the owner or the agent of the animal described above.
I have authority to execute this consent and am over the age of 18.
The nature and purpose of the procedure(s) has been explained to me and I understand
that no guarantee exists as to the result of diagnoses and treatment of said animal.
I have had the fees outlined to me and agree to pay all such fees and charges at the time of
discharge.
I have read and understand this consent.
________________________________________________________________________
__________________
Signature of owner or agent
Date
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