Consent Form

Thank you for choosing Markham Road Animal Hospital! To allow us to care for your pet, please complete our required consent form.

a woman petting a cat head

Consent Form

Please fill out this form as completely and accurately as possible to release your pet into our care.

The purpose of our Practice is to provide your pet with the best medical care available. The purpose of this form is to adhere to Ontario Law. It sets forth the policies of Markham Road Animal Hospital.

I, the undersigned owner, the authorized agent of the owner, or the Good Samaritan responsible for seeking veterinary care for the pet identified above, certify that I am over eighteen (18) years of age, and I hereby consent to the examination of this pet by staff veterinarians at Markham Road Animal Hospital.

I understand that, in addition to the physical examination of my pet, blood and urine tests, radiographs (X-rays), and other diagnostic tests may be necessary to determine the cause of my pet’s medical condition and the best course of treatment. I understand I must give my consent for each test that is performed before any test can be performed. If I have any questions or concerns about my pet’s care, I will discuss them thoroughly with the veterinary staff of Markham Road Animal Hospital.

I understand that the practice of medicine is not an exact science. The treatment of any patient may change depending upon the evolving nature of the condition and the response of the patient to treatment. Complications can arise, and prognoses may change. I am encouraged to discuss all questions concerning my pet’s health with my veterinarian at all times.

I understand that vaccinations protect my pet and family from serious diseases, and I also understand that vaccine administrations are not without total risk. While vaccine reactions are rare and generally mild if they occur, they include but are not limited to lethargy, hives, swelling, nodule formation, tenderness, infection at the injection site, and gastrointestinal upset. I understand I should seek medical care if I suspect an adverse reaction is at play.

If my pet is hospitalized overnight, I understand that continuous veterinary care during nighttime hours is not guaranteed. If I desire my pet to have continuous overnight care, I will transfer my pet to the Markham Road Animal Hospital or another facility where continuous veterinary supervision is available.

I hereby state that I have read and understand this agreement, and I am in agreement with the policies set forth. This agreement will be binding for the duration I own this patient.

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Clear Signature