Release for emergency treatment

Emergency treatment authorization

Emergency Treatment Authorization

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Release for Emergency Medical Treatment 2022 EMERGENCY MEDICAL TREATMENT AUTHORIZATION FORMThis form grants temporary authority to US Logistic Carriers to provide and arrange for medi- cal care for a pet in the event of an emergency, where the pet is not accompanied by it’s owner, and it may not be feasible or practical to contact them. This form should accompany the pet in the event of off-site trips or emergency relocation of the pet(s).
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Please note all conditions for which the pet is currently receiving treatment: Note any other significant medical information: AUTHORIZATION AND CON-SENT OF OWNER(S) OR LEGAL GUARDIAN(S) I do hereby state that I have legal rights of the aforementioned pet(s).
Primary Veterinarians Name: