"*" indicates required fields Acknowledgment of Risks I, the undersigned, understand that veterinary care involves certain risks, including but not limited to, anesthesia complications, reactions to medications, injuries during procedures, and unpredictable medical outcomes. I acknowledge that I am aware of these risks and have had the opportunity to ask questions regarding them. Release of Liability I agree to release and hold harmless Happy Tails Holistic Veterinary Care, its veterinarians, staff, and affiliates, from any and all liability, claims, damages, and losses related to the care and treatment of my pet, except in cases of gross negligence or intentional misconduct. I understand that I am responsible for the actions of my pet and any injury or damage caused by my pet during its visit. Assumption of Risk I voluntarily assume all risks related to my pet’s medical care, treatment, and procedures provided by Happy Tails Holistic Veterinary Care, understanding that while the clinic will exercise reasonable care, there are inherent risks that cannot be eliminated. I understand Happy Tails Holistic Veterinary Care has trained staff to restrain my pet(s). If my pet is overly anxious or fractious, I understand that medications (oral or injectable) may be suggested to calm my pet(s) for treatment plans to be performed. Consent to Treatment I authorize the veterinarians and staff at Happy Tails Holistic Veterinary Care to provide medical care, including diagnostic procedures, surgeries, and any necessary treatments for my pet. I understand that these procedures may involve certain risks and that I will be informed if there are significant risks. I understand I can decline recommended diagnostics and treatments and that I voluntarily assume the risks of declining DVM recommended care. Emergency Care I understand that not all calls or emails can be answered immediately, if my pet(s) are showing signs of distress that are considered an emergency, then you MUST go to an urgent care or ER veterinarian. Happy Tails Holistic Veterinary Care does not have the necessary equipment or the proper staffing to handle emergencies. No Guarantee of Results I understand that while the clinic will do its best to provide outstanding quality care based on the exam, history, symptoms and diagnostics, there are no guarantees regarding the outcome of treatments, surgeries, or procedures. The success of the treatment depends on a variety of factors that may be beyond the clinic's control. Governing Law This release of liability shall be governed by the State laws of Georgia where Happy Tails Veterinary Care is located. Acknowledgment and Agreement By signing below, I acknowledge that I have read, understand, and voluntarily agree to the terms and conditions outlined in this waiver. I understand that this waiver releases Happy Tails Holistic Veterinary Care from liability except for cases of gross negligence or intentional misconduct. This release of liability shall be governed by the State laws of Georgia where Happy Tails Veterinary Care is located. Name* First Last Signature*Date* MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.
