Veterinary Medical Agreement

VETERINARY MEDICAL AGREEMENT

This Veterinary Medical Agreement (the Agreement) is entered into as of Effective Date: by and between Client Name: ("Client") and Veterinary Practice Name: ("Practice"). Client and Practice are collectively referred to as the Parties.

RECITALS

WHEREAS, Practice is duly licensed and qualified to provide veterinary medical and surgical services and operates facilities and staff for the care and treatment of animals; and

WHEREAS, Client is the owner or authorized agent of the animal described below and desires that Practice provide veterinary medical services under the terms set forth herein; and

WHEREAS, the Parties wish to set forth their respective rights, responsibilities, and financial arrangements relating to such veterinary services.

NOW, THEREFORE, in consideration of the mutual covenants and promises contained herein, the Parties agree as follows:

1. DEFINITIONS

1.1 "Patient" means the animal identified below. 1.2 "Services" means diagnostic, medical, surgical, emergency, hospitalization, pharmacy and ancillary services provided by Practice. 1.3 "Estimate" means Practice's written or verbal good-faith estimate of anticipated fees for Services.

2. PATIENT INFORMATION

Patient Name: Species: Breed:

Age/Date of Birth: Sex: Microchip/ID #:

3. AUTHORIZATION FOR TREATMENT

Client hereby authorizes Practice, its veterinarians, technicians and staff to perform diagnostic procedures and render medical and surgical treatment as deemed necessary by the attending veterinarian. Client acknowledges that no guarantees have been made as to the results of treatment.

The Client authorizes the following as applicable (check all that apply):

Routine diagnostic and medical care, including vaccinations and laboratory testing
Surgical procedures and any ancillary procedures reasonably necessary during surgery
General or local anesthesia as required for procedures
Blood transfusion if clinically indicated
Euthanasia only upon express, written separate consent at the time such act is proposed

If emergency treatment is necessary to prevent death or serious impairment and the Client cannot be reached, Practice is authorized to proceed with such treatment as determined by the attending veterinarian. Practice will make reasonable efforts to notify Client or emergency contact as soon as practicable.

4. FEES, ESTIMATES AND PAYMENT

Client agrees to pay all fees and charges for Services rendered. Payment is due at the time services are rendered unless otherwise agreed in writing.

If actual costs exceed the Estimate due to unforeseen complications, Client shall remain responsible for such additional fees. Practice may require continued deposits for ongoing care. Unpaid balances may accrue interest and may be referred to collections; Client will be responsible for collection costs and reasonable attorney's fees.

5. RECORDS AND CONFIDENTIALITY

Patient medical records shall be maintained by Practice in accordance with applicable professional standards. Client authorizes the release of medical records to other veterinary professionals as necessary for patient care. Practice shall not disclose Client personal information except as required by law or as necessary for treatment, billing, or emergency coordination.

6. RELEASE, INDEMNIFICATION AND RISK ACKNOWLEDGMENT

Client acknowledges inherent risks associated with medical and surgical procedures and transportation or boarding of the Patient. Client releases Practice and its representatives from liability for loss, injury, or death of the Patient except to the extent caused by gross negligence or willful misconduct of Practice. Client agrees to indemnify and hold harmless Practice against claims arising from Client's negligence, misrepresentation of medical history, or failure to disclose relevant information.

7. LIMITATION OF LIABILITY

Except for damages resulting from gross negligence or willful misconduct, Practice's liability for any claim arising out of or related to this Agreement shall be limited to the amount actually paid by Client to Practice for the Services that are the subject of the claim.

8. BOARDING, HOSPITALIZATION AND DISPOSITION

If Patient is hospitalized or boarded, Practice will use reasonable care. Should Client fail to reclaim Patient within 14 days of written notice of discharge or completion of treatment, Practice may assume abandonment and may dispose of the Patient in accordance with applicable law after reasonable efforts to notify Client.

9. TERM AND TERMINATION

This Agreement shall remain in effect until terminated by either Party upon written notice. Termination shall not affect Client's obligation to pay for Services rendered prior to termination.

10. NOTICES

11. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Agreement shall be governed by and construed in accordance with the laws of the state in which Practice maintains its principal place of business, without regard to conflict of laws principles. This Agreement constitutes the entire agreement between the Parties with respect to the subject matter hereof and supersedes all prior agreements and understandings. If any provision of this Agreement is held invalid or unenforceable, the remainder of the Agreement shall remain in full force and effect.

12. AMENDMENT; WAIVER; COUNTERPARTS

No amendment to this Agreement shall be effective unless in writing and signed by both Parties. Failure or delay in exercising any right under this Agreement shall not constitute a waiver. This Agreement may be executed in counterparts, each of which shall be deemed an original.

13. NOTIFICATION OF RISKS AND SPECIAL INSTRUCTIONS

Client affirms that all known medical conditions, prior surgeries, and current medications have been disclosed to Practice. Client acknowledges receipt of any written estimate provided and understands that outcomes cannot be guaranteed.

14. ACKNOWLEDGMENT AND CONSENT

By signing below, Client certifies that Client is at least 18 years of age, is the owner or authorized agent of the Patient, has the authority to enter into this Agreement, has read and understands the terms herein, and consents to the described veterinary care and financial obligations.

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