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Curbside And Drop Off Check In Form Tavares Crossroads Veterinary Clinic Tavares FL

Thank you for choosing Tavares Crossroads Veterinary Clinic! Please fill out the form as completely as possible.

Curbside Check-In Form

Please fill out the curbside check-in/drop-off form below, and a member of our team will get back to you shortly. If you have any questions, please feel free to contact us.

Curbside Questions

(Please list the model and color.)
(The veterinarian and technician will use this number to communicate with you through the appointment.)
Click or drag files to this area to upload. You can upload up to 5 files.

I verify that I am the true and legal owner (or authorized agent for owner) of the above named pet and authorize he/she to receive treatment as deemed medically necessary by my veterinarian. I authorize the use of sedation and/or other medication in case of emergency and understand medical personnel will be employed at the direction of my veterinarian.

I understand and have been advised of the risk associated with any possible medical or surgical intervention or episode, even in apparently healthy animals and have discussed my concerns with my veterinarian and/or nurse. I understand that some medical intervention may not be previously anticipated and I hereby consent to and authorize the performance of such altered and/or additional procedures for the safety of my pet.

I agree to be responsible for any charges incurred while my pet is in the care of Tavares Crossroads Veterinary Clinic and understand payment is due at the time of discharge from the TCVC. I understand that staff will not be tending to my pet overnight, and may need to be transferred for further hospitalization in case of emergency.