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NEW DAWN
Home
About
Who we are
Our Vision, Mission & Core Values
Working with Muddy Paws
How to book with us
Gallery of New Dawn Customers
Our policies and procedures
>
Client area - Login required
Insurance and safety
Blog
Services
Make an inquiry
Holiday let
>
Building the Shepherd Hut
Dog Walking & Drop Ins
>
Booking form - dog walking
Overnight boarding & day care
>
Booking Form - Day Care or Overnight Stays
Prices
Contact
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Privacy Policy
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Veterinary Release Form
New Dawn - Cornwall requires all clients to complete a Veterinary Release Form. In the event of an emergency, New Dawn - Cornwall will make every attempt to contact the owner, the secondary owner and the emergency contact. In the event that no contact can be reached, New Dawn - Cornwall will seek appropriate medical care for your pet(s). If your Veterinarian is not available or located more than 20 miles away, New Dawn - Cornwall, will take your pet(s) to an appropriate clinic.
Customer Information
Customer Name
*
Phone Number
*
Email
*
Address
*
Pet Information
Pet's Name
*
Type of Animal
*
Sex
*
Male
Female
Spayed / Neutered?
*
Yes
No
Breed
*
Description (colour)
*
Microchip / Tag No.
*
Known medical conditions
*
Please details any medical conditions
Vet Information
Vet name
*
Telephone number
*
Address
*
During my absence, Emma Matthews of New Dawn - Cornwall, will be caring for my pet(s).
In the event of an emergency, I authorise you (veterinarian) to administer medical treatment and will be responsible for payment to you (veterinarian) upon my return.
,I, the below named client, give Emma Matthews of New Dawn - Cornwall, permission to transport my pet(s) to the above veterinarian and authorize treatment in the event of an emergency or sickness.
If this veterinarian is not available or located more than 20 miles away, I authorise Emma Matthews of New Dawn - Cornwall, to transport my pet(s) to a veterinarian of their choice and authorise treatment.
If this veterinarian is not available, I authorise Emma Matthews of New Dawn - Cornwall, to transport my pet(s) to a veterinarian of choice and authorise treatment. If emergency care is needed after regular office hours, my pet(s) may be taken to the nearest Veterinarian Emergency Clinic/Hospital.
I give permission to Emma Matthews of New Dawn - Cornwall, to approve treatment up to (input maximum £ amount or “no limit”)
*
I agree to be responsible for all charges upon my return including, but not limited to, vet fees, extra visit fees and transportation fees.
I agree to authorise a veterinarian to euthanize my pet in
extreme
circumstances after all reasonable attempts have been made to reach me or my emergency contact.
In the event of my pet’s death, I would like the pet cremated / kept at vet / other:
*
I agree that Emma Matthews of New Dawn - Cornwall, is released from all liability related to transportation to and from veterinarian and treatment for sickness or emergency. This release will remain valid for all current and future visits unless a new release is signed.
Print name
*
Signature
*
Max file size: 20MB
Take a photo of your signature and upload the image here
Date
*
Submit
Home
About
Who we are
Our Vision, Mission & Core Values
Working with Muddy Paws
How to book with us
Gallery of New Dawn Customers
Our policies and procedures
>
Client area - Login required
Insurance and safety
Blog
Services
Make an inquiry
Holiday let
>
Building the Shepherd Hut
Dog Walking & Drop Ins
>
Booking form - dog walking
Overnight boarding & day care
>
Booking Form - Day Care or Overnight Stays
Prices
Contact
Leave us a review
Privacy Policy
Terms and Conditions