Hospital Consent Form

Please complete the following details.

Which Clinic are your visiting?(Required)
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Pet Insurance?
If you wish to claim for today please let a nurse or receptionist know and we can submit it electronically for you.
Would you like us to make GAP claim for you?


Cost Estimate provided by vet?
If "No" would you like us to provide you with one before proceding?
Permission to use photos we may take on social media?
I agree to payment of the fees when I collect my pet from the clinic
Your pet is being admitted into hospital today for a procedure or hospital treatment as outlined above. The vet or nurse may also call you with further updates and necessary treatments. If your petis staying in hospital overnight the vet will update you each day on estimated costs. I will be available throughout the day by phone, and if not I am happy to have my alternative contact make decisions on my behalf.
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Internal only

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