Pawsome Companions Ltd
This form authorises Pawsome Companions Ltd to seek veterinary care for your pet and allows the veterinary practice to release relevant medical information if required for your pet’s safety and wellbeing.
Owner Details
Owner Name: ______________________________________
Address: _________________________________________
Postcode: ________________________________________
Phone Number: ____________________________________
Email Address: ___________________________________
Emergency Contact Name: ___________________________
Emergency Contact Phone Number: ___________________
Pet Details
Pet Name: _______________________________________
Species: _________________________________________
Breed: __________________________________________
Age / Date of Birth: _______________________________
Microchip Number: _________________________________
Medical Conditions: ________________________________
Current Medications: ______________________________
Allergies: _______________________________________
Veterinary Practice Information
Veterinary Practice Name: __________________________
Veterinary Address: _______________________________
Veterinary Phone Number: _________________________
Veterinary Authorisation
I authorise Pawsome Companions Ltd to seek veterinary treatment for my pet if illness or injury occurs while my pet is in their care and I cannot be contacted immediately.
I also authorise the veterinary practice listed above to release relevant medical information about my pet to Pawsome Companions Ltd where necessary to ensure proper care.
If the above veterinary practice is unavailable, I authorise Pawsome Companions Ltd to take my pet to the nearest available veterinary clinic.
I understand that every effort will be made to contact me prior to treatment whenever possible.
Financial Responsibility
I understand and agree that I am responsible for all veterinary costs incurred for my pet’s treatment.
Owner Consent
I confirm that the information provided above is accurate to the best of my knowledge and I grant permission for Pawsome Companions Ltd to act in the best interests of my pet in the event of illness or injury.
Owner Name: ____________________________________
Owner Signature: _________________________________
Date: __________________________________________
If you’d like, I can also create two documents that make pet care businesses look extremely professional and legally safe:
- Full Pet Care Service Contract (UK compliant)
- Dog Walking Risk Assessment & Safety Policy
Most professional dog walking and pet sitting companies include these when they become fully insured and operational. 🐾