Pet Sitter Authorization Form

By filling out and submitting this form, you are authorizing the party who is caring for your pets to bring your pets to us in the instance of any care needs.

During my absence,
Pet Sitter's Name*
First Last
will be caring for my animal(s),
Insert Pet's Names Here*
They have my permission to bring them in for treatment as deemed necessary. I authorize you, the doctors and staff of Bend Veterinary Clinic to treat my animals ad I will be fully responsible for all fees and charges. I will pay for all charges incurred on my behalf upon my return. I further authorize you to give out any information regarding the care/treatment of my animal(s) to the pet sitter named above.
Urgent Veterinary Treatment Authorization
Client Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Cell Phone (if different than above)
Email*
Special Instructions
Maximum Amount for Urgent Care Services (if any):
Pet Sitter Information
Name
First Last
Home Phone*
Cell Phone (if different than Home Phone)
Work Phone*
By submitting this form, I am authorizing Bend Veterinary Clinic to treat my animal(s). I acknowledge that I will be responsible for all fees and charges and will pay in full upon my return.

Pet Sitter Authorization Form

Urgent Veterinary Treatment Authorization

Pet Sitter Information