By listing your primary care veterinarian above, you are authorizing Dockery, Mobley & Associates Animal Hospital to release patient information to the primary care hospital or
By submitting this form, I hereby authorize Dockery, Mobley & Associates Animal Hospital to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Dockery, Mobley & Associates Animal Hospital.