VETERINARY INSTRUCTIONS AND RELEASE FORM
Your privacy is extremely important to us. Two Dogs Petsitters will not share any of your information (including but not limited to: phone
numbers, addresses, email addresses, key location, alarm/security information) without your prior authorization.
Pet’s Name:
Description:
Age:
Medical conditions/medication:
Pet’s Name:
Description:
Age:
Medical conditions/medication:
Pet’s Name:
Description:
Age:
Medical conditions/medication:
Pet’s Name:
Description:
Age:
Medical conditions/medication:
Two Dogs Petsitting will attempt to contact you if there is a need for veterinary treatment.
If any of the pets named above becomes ill or is injured, I request that Two Dogs Petsitting take the pets to:
Veterinary Office Name:
Address:
Phone Number:
Credit card on file, hospital notified (please initial) _______
Alternate Veterinary Office Name:
Address:
Phone Number:
Credit card on file, hospital notified (please intial) ________
I give permission to Two Dogs Petsitting to use the following credit card for veterinary expenses.
Credit card info:(circle one) Mastercard Visa
Card #:___________________________ Exp. Date:_______ CVS#(3 digit code on back of card)_____
If neither of the veterinary offices named above is available, I authorize Two Dogs Petsitting to take my pet/s to
another veterinary office for treatment. I understand that Two Dogs Petsitting cannot be held responsible for the results
of the veterinary treatment or the loss of my pet.
This agreement is valid starting on the date below whenever Two Dogs Petsitting cares for my pets:
Owner's Signature: ________________________Date: ____________________
Owner's Name (please print):_______________________________
Your privacy is extremely important to us. Two Dogs Petsitters will not share any of your information (including but not limited to: phone
numbers, addresses, email addresses, key location, alarm/security information) without your prior authorization.
Pet’s Name:
Description:
Age:
Medical conditions/medication:
Pet’s Name:
Description:
Age:
Medical conditions/medication:
Pet’s Name:
Description:
Age:
Medical conditions/medication:
Pet’s Name:
Description:
Age:
Medical conditions/medication:
Two Dogs Petsitting will attempt to contact you if there is a need for veterinary treatment.
If any of the pets named above becomes ill or is injured, I request that Two Dogs Petsitting take the pets to:
Veterinary Office Name:
Address:
Phone Number:
Credit card on file, hospital notified (please initial) _______
Alternate Veterinary Office Name:
Address:
Phone Number:
Credit card on file, hospital notified (please intial) ________
I give permission to Two Dogs Petsitting to use the following credit card for veterinary expenses.
Credit card info:(circle one) Mastercard Visa
Card #:___________________________ Exp. Date:_______ CVS#(3 digit code on back of card)_____
If neither of the veterinary offices named above is available, I authorize Two Dogs Petsitting to take my pet/s to
another veterinary office for treatment. I understand that Two Dogs Petsitting cannot be held responsible for the results
of the veterinary treatment or the loss of my pet.
This agreement is valid starting on the date below whenever Two Dogs Petsitting cares for my pets:
Owner's Signature: ________________________Date: ____________________
Owner's Name (please print):_______________________________
