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Emergency Drop Off Intake Form

Please complete this form and submit prior to your arrival at the Hospital. If you have any questions please call us or email [email protected].

Need a Prescription Refill?

Weste Animal Hospital is now handling all of our prescription refills through the PetDesk app, where you can track your pet’s wellness, request appointments, and refill prescriptions all in one place.

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Owner & patient details

Health condition history

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Owner's consent

I hereby consent to and authorize the performance of the following procedures.*
I authorize emergency treatment for my pet. The nature and risks of treatment have been explained to me. I understand some risks always exist with medical treatment, and I am encouraged to discuss any concerns I have about those risks with my veterinarian before the procedure(s) are initiated. My signature on this consent form indicates that any questions have been answered to my satisfaction.*
I authorize Weste Animal Hospital to perform any additional diagnostic, treatment, or medical procedure(s) deemed necessary for medical complications or otherwise unforeseen circumstances. I understand there are rare complications associated with any medical procedure. No warranty or guarantee has been given to me as to the results or cure afforded by these treatments or procedures. I fully understand these risks and understand the veterinarians and hospital staff will try to minimize such risks. I will not hold Weste Animal Hospital, the veterinarians, or any staff member liable for any complications that may arise.*
I understand that there may be times my pet is left unattended. Weste Animal Hospital is open from Monday to Friday 8am - 7pm and outside those hours is unstaffed. It may be necessary for my pet to be transferred to an emergency facility or be sent home outside those hours, at the Doctor's discretion. Every reasonable effort will be made to reach you prior to transferring your pet to an emergency facility.*
Consent*