Drop Off Form


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.

July 23, 2021

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Signature Certificate
Document name: Drop Off Form
lock iconUnique Document ID: 716e39cf1bf59b102f0f8dc10720eddc6eb727b1
Timestamp Audit
January 8, 2021 5:29 pm EDTDrop Off Form Uploaded by Sherry Burgess - christina@jonroc.com IP 73.55.191.4
January 13, 2021 12:38 pm EDT Document owner christina@jonroc.com has handed over this document to manager@lakeside.vet 2021-01-13 12:38:26 - 73.55.191.4