Veterinarian Release Veterinarian Release First Name*Last Name*Date* Date Format: MM slash DD slash YYYY Phone*Address*City*State*Zip*Vet InfoVet name*Hospital*Address*City*State*Zip*Phone Number*TO THE HOSPITAL: During my absence, a representative of Bark to Basics will be caring for my pet(s) and has my permission to transport them to your office for treatment. I authorize you to treat my pet(s) and will be responsible for payment to you upon my return. Please file this form with my records. Pet's Name(s)*Untitled*I, pet owner, hereby give Bark to Basics my express permission to transport my pet(s) for care to the above-mentioned veterinarian (or to the closest facility in the event of emergency). I give permission for the hospital/clinic/doctor to administer whatever care/medications necessary to care for my pet(s), with the exclusion of the following: Pet Owner*Date Date Format: MM slash DD slash YYYY CAPTCHA