Heartworm Preventative Waiver

Preventative Care Waiver

  • I understand that my dog/cat is at risk to contract heartworm disease.
  • I understand that if heartworm disease is contracted it could be fatal.
  • I understand that treatment for heartworm disease is not guaranteed and can cost up to $1,000 or more.

I herby decline(Required)

I hold both veterinarian and staff harmless should illness, injury, or death result from declining the recommended care.

MM slash DD slash YYYY

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