Pet Emergency Care form
We will have this form available for a signature when we pick up your pet(s).
ATS Pets
Rm1506, 188 Siping Rd
Hongkou Distirct, shanghai 200082
(8621) 5187-3513; fax (8621) 5308-1131
AUTHORIZATION FOR EMERGENCY CARE
Client's Name:_______________________________________________________
Address:____________________________________________________________
Phone #:______________________________ Phone # 2:_____________________
Description of pet(s):___________________________________________________
___________________________________________________________________
___________________________________________________________________
Pet's Name(s):________________________________________________________
In the event the above described pet(s) should become ill or injured and should require
veterinary care, I, __________________________, as the responsible party, do authorize
ATS Pets to take the pet(s) to a licensed veterinarian for treatment. I will take full
financial responsibility for all bills incurred not to exceed $___________________________.
If ATS Pets is unable to reach me, I authorize them to make any emergency
decision they deem necessary for the well being of the pet(s).
By signing below, I certify that I have read and understand this document. I agree to hold
ATS Pets harmless for any illness or injury of my pet incurred during or after the
transport of my pet.
Client Name:_________________________________ Date:______________________
(Signature)
We will have this form available for a signature when we pick up your pet(s).
