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Get Birdneck Animal Hospital Consent for Treatment and/or Admission

____________Breed_____________________ Sex ___ M CM F SF I, the undersigned owner, authorized agent of the owner or Good Samaritan responsible for seeking veterinary care for the pet identified above, certify that I am/I am not (circle one) over eighteen years of age, and hereby consent to the following procedures or operations: _________________________________________________ _______________________________________________________________________________________ of this pet by staff veterinar.

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