Client Forms in North Branford, CT

Need to complete one of our forms before your pet’s appointment? You can print out whichever form you need and fill it out at home. This way, you can spend more time speaking with your vet and less time doing paperwork.

If you have questions or concerns, please call or text us at (203) 562-9896.

dog-on-shoulder

New Client/Patient Form
Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal
May we call you?

Anesthesia Consent Form
Name
Name
First
Last
I verify that I am the owner (or authorized agent for the owner) of the pet named above and authorize the above procedure to be performed.
Pre-anesthetic blood work

I hereby authorize the use of anesthesia/sedation and other medications as deemed necessary by the veterinarian and understand that hospital personnel will be employed in the procedure(s) as directed by the veterinarian.

I have been advised as to the nature of this procedure to be performed and the risks involved.I understand also that there is always a risk associated with any anesthesia episode, even in apparently healthy animals and have discussed my concerns with the veterinarian.

I understand that it may be necessary to provide medical and/or surgical procedures which are not anticipated for the safety or care of my pet, up to and including transportation to the emergency facility in case of critical emergency.

I hereby consent to and authorize the performance of such altered and/or additional procedures as are necessary in the veterinarian’s professional judgement. I accept responsibility for any result in additional charges.

I agree to be responsible for any charges incurred while my pet is in the care of this facility and understand payment is due at the time my pet is released from the hospital. I understand no staff will be attending to my pet overnight (pets needing special care may be referred to a 24 hour hospital).

Euthanasia Consent Form
Name
Name
First
Last
We understand how difficult the decision of humane euthanasia can be. Our goal is to make this as easy as possible for you, but we must ask some difficult questions to comply with city laws and to help you to make some choices for your beloved pet.
My pet has not bitten anyone in the past 10 days

Our crematory services are provided by Final Gift. If you choose private cremation, one of our receptionists will contact you as soon as your pet’s ashes have been returned to the hospital.

Please select your choice below
I certify that I am the owner or authorized agent for the owner of the pet listed above. I authorized the doctor of Montowese Veterinary Clinic to humanely euthanize this pet.