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New Clients
New Client Forms
Download Our PetDesk App
Pet Insurance Information
Client Education
ER and Specialty Hospital Referral Information
Payment Information
Social
Contact
Home
Who We Are
Our Team
Social
Our Services
Preventative Care
Urgent and Emergency Care
Dentistry Services
Diagnostic Testing
Exotic Pet Care
Prescription Diets
Orthopedic and Soft Tissue Surgery
Prescription Parasite Prevention
Routine and Medical Bathing
End of Life and Hospice Care
New Clients
New Client Forms
Download Our PetDesk App
Pet Insurance Information
Client Education
ER and Specialty Hospital Referral Information
Payment Information
Social
Contact
Home
Who We Are
Our Team
Social
Our Services
Preventative Care
Urgent and Emergency Care
Dentistry Services
Diagnostic Testing
Exotic Pet Care
Prescription Diets
Orthopedic and Soft Tissue Surgery
Prescription Parasite Prevention
Routine and Medical Bathing
End of Life and Hospice Care
New Clients
New Client Forms
Download Our PetDesk App
Pet Insurance Information
Client Education
ER and Specialty Hospital Referral Information
Payment Information
Social
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Vaccination Consent Form
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Vaccination Consent Form
Vaccination Consent Form
Vaccination Consent Form
Baker Bristol Pet Hospital – Vaccination Consent
Vaccination Clinic Medical Consent Form
Owner or Authorized Agent's name:
(Required)
First
Last
Pet's Name:
(Required)
Please Read and Consent to the Following:
(Required)
♣ I am the owner of the animal(s) presented for services and have the authority to execute this consent and authorize the performance of the requested procedures. I understand the staff of Baker Bristol Pet Hospital (BBPH) will perform the procedure(s) to the best of their ability, always considering the safety of the animal(s) first.
♣ To the best of my knowledge my animal(s) has no diagnosed allergies to vaccines. I will inform the Veterinarian and staff of any current medical conditions or medications that may increase my animal(s) chance for adverse reactions to vaccinations. I understand that BBPH uses only the highest quality of vaccines available; and I am aware vaccine reactions are possible, though they are rare.
♣ Should my animal(s) become ill due to vaccines, I will not hold BBPH responsible. I agree to treat any medical concerns/conditions or vaccine reactions at BBPH or an emergency clinic. And am aware that this will be my own financial responsibility.
♣ I understand that my pet(s) may not have received a full comprehensive examination today. Only your animal’s medical records have been examined to determine the appropriateness of vaccinations selected.
♣ My animal(s) have had no recent occurrences of abnormalities such as coughing/sneezing, vomiting/diarrhea, runny eyes/nose, or fever. I certify that my animal(s) is in good health. We have the right to refuse services if it will cause harm to your animal(s). If an illness is identified, be aware your animal(s) vaccines may be delayed until said illness is addressed.
I agree to the vaccination consent policy.
Digital Signature
(Required)
Date
(Required)
MM slash DD slash YYYY