Holiday Waiver - Calgary Avian & Exotic Pet Clinic

Should it be necessary, the above named individual is permitted to make medical decisions regarding my pet if I am unable to be reached respecting the financial considerations listed below:

YES NO

I authorize Calgary Avian & Exotic Pet Clinic to discuss current medical concerns or treatment plans with the above named individual(s) during my absence:

YES NO

During my absence, should my pet require veterinary attention, I request that my pet be treated by the veterinarians at Calgary Avian & Exotic Pet Clinic.

My pet sitter will pay for any services rendered. I will leave my credit card information on file for the duration of my absence and any procedures performed may be processed at the time of service.

In the event that veterinary care is administered to your pet, every attempt will be made to reach you at the contact numbers you have left. However, in the event that you cannot be reached, please indicate which course of action you would like us to take:

I authorize you to proceed up to $100 I authorize you to proceed up to $500 I authorize you to proceed up to $1500 I authorize you to proceed up to $2500 I authorize you to proceed up to $4000 I authorize you to proceed up to $6000 I authorize you to perform any treatments regardless of cost Please do not perform any procedures for which I am financially responsible