Treatment Authorization and Information
I hereby authorize VSNM practices to perform medical and initial diagnostic/surgical procedures in my pet as required for diagnosis and treatment. I understand that I can terminate treatment at any time by contacting the doctors and assistants.If I have been referred to this hospital by another veterinarian, I understand that they will require a summary of the care and treatment provided by the VSNM practices in order to ensure that my pet’s care can be continued without interruption. I also understand that VSNM considers the identification of a referring veterinarian by me to be my authorization to release records and information to that veterinarian. We are leaders and teachers in the veterinary medical field, thus case information and/or photos may be used in teaching, forms, continuing education, web site, veterinary literature, and the like. I authorize the release of case/patient information for such purposes; patient confidentiality (names withheld) will be maintained.In the event this animal transfers to ownership, I authorize release of medical information to the new owner, should they request it.