Terms and Conditions

I certify that I am the responsible party and have the ability to enter into a Veterinary Client Patience Relationship (VCPR).

I, the responsible party or authorized agent of the above described animal, hereby authorize the admitting veterinarian (and his designated associates and assistants) to administer such treatments as are considered therapeutically and/or diagnostically necessary.

I understand that no guarantee of successful treatment is made.

I hereby certify that I have read and understand this authorization for medical and/or surgical treatment, the reason why such treatment is necessary, and well as its advantages and disadvantages and possible complications. 

I also assume financial responsibility for all charges incurred to the patient, and agree to pay all such charges at the time of the pet’s release. 

I understand that there are potential complications, including death, associated with anesthesia. 

Media City Animal Hospital will follow the California Abandoned Animal Act, section 1824.5, in the case that you do not collect your pet when it is ready for release.

The provisions of the act do not indemnify you from financial responsibility for charges incurred and the cost of collection.

(818) 848-5007

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