Authorization To Treat

I hereby authorize Beaverton Pet Clinic 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 Beaverton Pet Clinic (BPC) 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 BPC based on urgency of medical care), I authorize BPC 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.(Required)

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.


Digital Signature (Name)(Required)








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  • 1

    Call us or schedule an appointment online.

  • 2

    Meet with a doctor for an initial exam.

  • 3

    Put a plan together for your pet.

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