VETERINARIAN AUTHORIZATION
Please complete and return to Teak Time Pet Sitting Service, Inc.

Vet____________________________ Pets Name/Names__________________________________

During my various absences, Teak Time Pet Sitting Service Inc) will be caring for my animal(s). They have my permission to transport them to and from your office or, in the case of large animals, request "on site" treatment from your office as is deemed necessary. I authorize you to treat my animal(s) and I will be fully responsible for all fees and charges and will pay for all charges they incur on my behalf upon my return. I further authorize you to give out any information about my animal(s) to ______________, the owner of Teak Time
Pet Sitting Service Inc
Client Initials_________________

Teak Time Pet Sitting Service Inc Urgent Veterinary Treatment Authorization

This form will be retained on file and will be used to authorize urgent veterinary treatment in the event that your pet(s) require such treatment during your absence and we are unable to contact you at the time. Should you change Vets please notify Teak Time
Pet Sitting Service In before service dates.

Client Name: _______________________________________________________________________
Address: ___________________________________________________________________________
City: ____________________________ ZIP: ________________

Home Telephone: __________________ Work Telephone: ______________
Mobile/Pager: ________________

To whom it may concern: I have contracted for services from Teak Time Pet Sitting Service Inc. during my absence and I authorize Teak Time Pet Sitting Service into act on my behalf to request veterinary treatment and services when they deem it necessary. I accept full responsibility for charges incurred in the treatment of my pet(s), not to exceed the following amounts for each pet:

Pet Name- Description- Maximum Amount
__________________________________________________ $_____________
__________________________________________________ $_____________
__________________________________________________ $_____________
__________________________________________________ $_____________
__________________________________________________ $_____________

If multiple pets require treatment, do not exceed a combined total of $_________________.

Special Instructions: _______________________________________________________________________________

_______________________________________________________________________________

Teak Time Pet Sitting Service Inc. reserves the right to utilize the services of any available veterinary clinic. If time permits, we will attempt to utilize your primary veterinary clinic. If it is not practical to do so, the following information will be helpful if the clinic we utilize requires documentation from your primary clinic.

Preferred Urgent Veterinary Care

Clinic________________________Address____________Telephone_____________

I authorize you to treat my animal(s) and I will be fully responsible for all fees and charges and will pay for all charges that are incurred on my behalf, immediately upon my return. CC Card If I cannot be reached:
Name________________________ #_____________________ Exp. __________
Max. Charge Authorized___________. Authorized charges to this card are for Veterinarian Services/Pet Medications ONLY.

__________________ Client

__________________ Date

____________________________ Teak Time Pet Sitting Service Inc