Veterinary Medicine Agreement

VETERINARY MEDICINE AGREEMENT

This Veterinary Medicine Agreement ("Agreement") is entered into as of Effective Date: by and between Veterinary Provider Name: whose principal place of business is (hereinafter "Provider"), and Client Name: residing at (hereinafter "Client"). Provider and Client are hereinafter collectively referred to as the "Parties."

RECITALS

WHEREAS, Provider is duly licensed and qualified to render veterinary medical services and maintains facilities, personnel and equipment to provide such services; and

WHEREAS, Client is the owner or authorized agent of the animal described below and desires Provider to perform veterinary services in accordance with the terms of this Agreement; and

WHEREAS, the Parties desire to set forth their respective rights and obligations with respect to the provision of veterinary care, treatment, and related professional services;

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

1. DEFINITIONS

1.1 "Patient" means the animal presented by Client for veterinary care. Patient details shall be as set forth below.

1.2 "Medical Records" means all clinical notes, diagnostic test results, imaging, treatment plans, and other documents created or maintained by Provider relating to the Patient's care.

2. PATIENT IDENTIFICATION

3. SCOPE OF SERVICES

3.1 Provider shall provide veterinary medical services to the Patient as reasonably requested by Client and as deemed necessary by Provider, which may include examination, diagnostics, medical or surgical treatment, anesthesia, hospitalization and dispensing of medications ("Services"). Provider shall exercise professional judgment in accordance with the standard of care for veterinary medicine in the relevant jurisdiction.

4. CLIENT RESPONSIBILITIES

4.1 Client represents and warrants that Client is the owner of the Patient or the authorized agent of the owner and has full authority to authorize veterinary treatment and to execute this Agreement.

4.2 Client shall provide accurate medical history and disclose known allergies, current medications, prior conditions, and behavioral issues. Failure to disclose material information may relieve Provider of liability for adverse outcomes related to such nondisclosure.

5. FEES, ESTIMATES AND PAYMENT

5.1 Client shall pay Provider's fees for Services in accordance with Provider's rates in effect at the time services are rendered. Provider may require a deposit for surgical or advanced diagnostic procedures. Provider shall use reasonable efforts to provide Client with an estimate where practicable, but estimates are not guaranteed.

6. MEDICAL RECORDS & CONFIDENTIALITY

6.1 Provider shall maintain Medical Records in accordance with customary veterinary practices. Client acknowledges that Medical Records are the property of Provider, and Provider may charge a reasonable fee for copies. Provider shall keep confidential Client and Patient information except as required by law, as necessary for treatment, or as authorized by Client.

Client authorizes Provider to release Medical Records to other veterinary providers or laboratories as necessary for continued care.

7. CONSENT FOR TREATMENT, DIAGNOSTICS AND ANESTHESIA

7.1 Client authorizes Provider to perform diagnostic procedures, medical and surgical treatments and to administer anesthesia as determined necessary by the attending veterinarian. Client acknowledges that all procedures involve some degree of risk and that Provider has explained, where practicable, the risks, benefits and alternatives to proposed treatments.

Client authorizes Provider to administer anesthesia and perform related monitoring and supportive care.

8. MEDICATIONS, DISPENSING AND CONTROLLED SUBSTANCES

8.1 Provider may dispense or prescribe medications, including controlled substances, when medically indicated. Client agrees to follow dosing instructions and acknowledges that diversion or misuse of controlled substances may be reported to appropriate authorities.

Client authorizes Provider to dispense and prescribe medications as necessary for the Patient's care.

9. INDEMNIFICATION AND LIMITATION OF LIABILITY

9.1 To the fullest extent permitted by law, Client agrees to indemnify, defend and hold Provider, its veterinarians, technicians and employees harmless from and against any claims, liabilities, damages, losses and expenses (including reasonable attorneys' fees) arising from Client's breach of this Agreement, Client's negligence, or acts or omissions of Client or third parties while on Provider's premises.

9.2 Provider's liability for direct damages under this Agreement shall be limited to an amount not to exceed the total fees paid by Client to Provider for the specific Services giving rise to the claim. In no event shall Provider be liable for incidental, indirect, special or consequential damages, except to the extent such limitations are prohibited by applicable law.

10. INSURANCE

10.1 Provider represents that it maintains professional liability insurance customary for veterinary practices. Client is encouraged to maintain pet health insurance or other appropriate coverage. Proof of insurance may be requested where relevant to a claim for damages.

11. TERM AND TERMINATION

11.1 This Agreement shall commence on the Effective Date specified above and shall continue until terminated by either Party upon written notice. Either Party may terminate this Agreement immediately for material breach by the other Party or for reasons of safety to patients or staff.

11.2 Termination shall not relieve Client of obligations to pay for services rendered prior to termination nor affect provisions that by their nature survive termination, including indemnification, limitation of liability, records and confidentiality, and governing law.

12. NOTICES

12.1 All notices, requests, consents, claims, demands and other communications under this Agreement shall be in writing and addressed to the Parties at the addresses set forth herein or such other address as either Party may designate by written notice to the other.

13. AMENDMENTS, WAIVER, COUNTERPARTS

13.1 This Agreement may be amended or modified only by a written instrument executed by both Parties. No waiver by either Party of any breach shall be deemed a waiver of any subsequent breach.

13.2 This Agreement may be executed in counterparts, each of which shall be an original and all of which together shall constitute one instrument. A facsimile or electronic signature shall be deemed an original for all purposes.

14. GOVERNING LAW, ENTIRE AGREEMENT, SEVERABILITY

14.1 Governing Law: This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to its conflict of law principles.

14.2 Entire Agreement: This Agreement constitutes the entire agreement between the Parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written.

14.3 Severability: If any provision of this Agreement is held to be invalid, illegal or unenforceable by a court of competent jurisdiction, the remaining provisions shall remain in full force and effect and the Parties shall negotiate in good faith to replace the invalid provision with a valid provision that most closely approximates the Parties' intent.

15. MISCELLANEOUS

15.1 Assignment: Client may not assign or delegate its rights or obligations under this Agreement without Provider's prior written consent. Provider may assign its rights and obligations to an affiliated practice or successor.

15.2 Emergency Authorization: If Client cannot be reached and Provider in good faith believes emergency treatment is necessary to preserve life or prevent significant suffering, Provider is authorized to proceed with such emergency care and bill Client for those Services.

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