Treatment Release Form

Our treatment release form authorizes us to provide care for your pet. We ask you to complete it ahead of a procedure or treatment so there is no delay on the day of your visit. It confirms your consent and gives our team the details needed to move forward with your pet’s care.

Complete Your Treatment Release Form

Thank you for trusting us with your pet’s care. Completing this form in advance lets our team focus on your pet from the moment you arrive.
I give permission for Kibby Park Animal Hospital to perform the procedure stated below on my pet. The doctors and staff will take precautions to ensure the best outcome for my pet. I am aware that the hospital is not staffed overnight. I agree to pay the fees associated with this procedure at the time of my pet’s discharge from the hospital.

Have an Urgent Concern?

This form is not monitored in real time. If your pet needs immediate care, please call us directly at 517-787-5807 during our regular clinic hours. For concerns outside our hours, see our emergency and after-hours resources.