Power of Attorney Form

Save time by completing your power of attorney form online before your visit.

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Power of Attorney Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Hereby Appoint:

As my agent to make any and all health care decisions for my pet(s), except to the extent I state otherwise in this document. My agent shall follow my wishes, as set forth through this document or other means. If my agent cannot determine the choice I would want for my pet(s), then my agent’s decision shall be based on what he or she believes is in the best interest of my pet(s).

Medical Power of Attorney

If the person designated as my agent is unable or unwilling to make health care decisions for my pet, I designate the following alternative person to serve as my agent.
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