Authorization To Treat Please enable JavaScript in your browser to complete this form.I hereby authorize Frontier Veterinary Hospital to make medical and health care decisions for my pet(s) (listed below) in my absence. In the event of an emergency, I understand that Frontier Veterinary Hospital (FVH) will attempt to contact me at the phone number(s) provided; however, I understand that if I cannot be reached within a reasonable amount of time (as determined by FVH based on urgency of medical care), I authorize FVH to treat my pet however is deemed necessary for its health and well-being. Furthermore, I agree to pay for any and all expenses that may be incurred. *I have read and authorizePets included in authorization (please note any special medical concerns): *Dates this Authorization is valid (or indicate if this authorization is ongoing): *Phone number(s) to contact owner(s): *Name of person(s) authorized to make medical decisions: *Phone number(s) of person(s) authorized to make medical decisions: *In the unlikely event that your pet is facing an urgent and immediate life-threatening condition, we will do everything in our power to ensure his or her continued comfort. If your wishes are a humane end to their suffering, please initial below. *Yes, if the doctor feels that recovery is not possible.No, please keep my pet comfortable until I return.Digital Signature (Name) *FirstLastE-mail *Today's Date *NameSubmit