Hospital Drop Off Form

I understand that I am leaving my pet in the care of Indy Paws Veterinary Hospital (IPVH) for care and treatment. I agree that IPVH will do everything possible to treat my pet with care and respect while in their care. There are some medical situations that can occur that are beyond the Hospital's control and all possible efforts and resuscitation will be made in case of a medical emergency. I understand that Indy Paws Veterinary Hospital will not be held responsible for an unexpected death of a patient. My pet will be considered abandoned if Indy Paws Veterinary Hospital has not heard from me within 5 days of the expected date of discharge. The hospital is authorized to manage my pet however they deem best if this should occur. I further understand that no guarantee of successful treatment can be made.

I certify that I understand this release and furthermore assume full financial responsibility of all charges accrued. By signing below, I am agreeing to all items listed above and the estimated costs of the visit as provided. I understand that the initial costs are estimated and are subject to change. If there is anticipation that a change to estimated services is significant (>10%), Indy Paws will make every effort to reach out to discuss prior to proceeding.