Drop-Off Form

Medication

Eating
Drinking
Urination
Bowel Movements
Activity Level
Vomiting
Diarrhea

By signing below I understand that my pet must be free of external parasites such as fleas and/or ticks. If my pet is found to have such parasites, he/she will be treated accordingly at the owner’s expense.I understand that my pet must be up to date on needed vaccinations such as rabies, distemper, and bordetella in order to be hospitalized for any period of time at Lakeside Animal Hospital. Otherwise, my pet will be treated at my expense for the reason listed above. I understand that signing this form I grant Lakeside Animal Hospital to receive, prescribe for and perform treatment on my pet. If ever more testing or diagnostics are recommended to efficiently care for my pet I understand that Lakeside Animal Hospital will do all they can to contact me and receive verbal approval to perform such treatment at the owner’s expense.

Sign above