EARLY DISCHARGE CONSENT FORM

I am hereby removing the above-mentioned animal from the care of the Quality Veterinary Care Centre against the veterinarian’s advice and prior to completion of treatment. I recognise that I am solely responsible for any consequences of this action, and I take full responsibility for any further illness of the above mentioned animal and will be responsible for the full cost of any further treatment required.

By signing this form, I/We agree that:
i. All questions by us have been answered satisfactorily;
ii. I/We have read and understood this document;
iii. Authorise and consent is given as required;
iv. Agree to QVCC’s payment terms and conditions;
v. Aware that all payments are due at the time of service;
vi. Agree to be personally responsible for all professional fees as rendered by QVCC;
vii. Aware that whilst all care is taken by QVCC, I/We have had the risks explained and hereby indemnify and keep indemnified QVCC and employees against claims howsoever arising.