Patient Drop-Off & Treatment Authorization

Authorization for Treatment, Anesthesia Risks & Emergency Care

I certify that I am the owner of the above-named pet, or an authorized agent of the owner, and have the authority to consent to veterinary care. I authorize the veterinarians and staff of Out West Veterinary Center to examine, diagnose, and provide medical treatment for my pet as they deem necessary. I understand that due to alternating schedules, the veterinarian responsible for my pet’s care may change during treatment.

I understand that all medical treatments, anesthesia, and surgical procedures carry inherent risks, including the possibility of complications or death. To help minimize these risks and provide the safest care possible, pre-anesthetic bloodwork is required, not optional, for procedures involving anesthesia. I acknowledge that the staff has explained the procedure to me and answered my questions to my satisfaction. I understand that no guarantee has been made regarding the outcome of treatment.

I understand that unexpected medical conditions may arise requiring immediate treatment. The staff will make every reasonable effort to contact me before performing additional services. If I have authorized CPR, I understand that I am responsible for all costs associated with resuscitation efforts and that successful resuscitation cannot be guaranteed.

Financial Responsibility, Deposits & Payment Policy

I understand that payment is required at the time services are rendered and that Out West Veterinary Center does not offer in-house payment plans. If financial concerns arise, I agree to notify the staff in advance so they may assist me in applying for available third-party financing options.

I understand that a deposit equal to 75% of the low end of the estimate may be required before my pet is admitted to the hospital for any scheduled procedure, walk-in, or emergency appointment. This deposit will be applied toward the final invoice. I understand that I am financially responsible for all costs associated with my pet’s care and that payment is due in full at the time of discharge. Unpaid balances may be submitted to a collections agency, and failure to pay may result in denial of future services.

Boarding & Abandonment Policy

If my pet is boarding at the hospital, I understand that payment is due at the time of drop-off, unless otherwise arranged with the hospital.

In accordance with Arkansas Code 17-101-313, unless otherwise provided by contract, a veterinarian may dispose of any animal abandoned in their care after providing written notice to the client’s last known mailing or email address. The client will be given twelve (12) days from the issuance of the notice to retrieve the animal.

I understand that if my pet remains in the hospital’s care for 12 days or longer with no communication, the pet may legally become the property of Out West Veterinary Center.