We will have this form available for a signature when we pick up your pet(s).
EXPRESS PET MOVERS
2701 Elmwood Dr., Bryan,
Texas 77802
(979) 589-1744
AUTHORIZATION FOR EMERGENCY CARE
Client’s Name:_________________________________________________________
Address:_______________________________________________________________
Phone #:______________________________ Phone # 2:_____________________
Description of pet(s):____________________________________________________________________________________________________________________________________________________________________________________
Pet’s Name(s):_______________________________________________________
In the event the above described pet(s) should become ill or injured and should require veterinary care, I, __________________________, as the responsible party, do authorize EXPRESS PET MOVERS to take the pet(s) to a licensed veterinarian for treatment. I will take full financial responsibility for all bills incurred not to exceed $_________________________.
If EXPRESS PET MOVERS is unable to reach me, I authorize them to make any emergency decision they deem necessary for the well being of the pet(s).
By signing below, I certify that I have read and understand this document. I agree to hold EXPRESS PET MOVERS harmless for any illness or injury of my pet incurred during or after the transport of my pet.
Client Name:_________________________________ Date:____________________
(Signature)
We will have this form available for a signature when we pick up your pet(s).