I am the owner or authorized agent of the pet presented to Advanced Veterinary Internal Medicine. I am of legal age and I consent to the administration of emergency medical treatment for my pet in the best judgment of the veterinarian should the need arise. I hereby authorize the veterinarian to examine, prescribe for, and/or treat the above described pet and provide any pertinent medical records to other Veterinarians or medical professionals involved in my pet’s care unless requested otherwise. I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid when services are rendered and that a deposit may be required for treatment. If for any reason payment is not made, I agree to interest charged annum, necessary attorney’s fees, court costs and late fees and any other recovery fees.