Editable + Printable Template

Veterinary Release / Emergency Authorization Form

Trust-first authorization template for pet sitters, dog walkers, and in-home pet care providers.

Client & Booking Details

Client Name
Phone Number
Email Address
Service Dates
Property Address
Best Emergency Contact Method

Pet & Veterinarian Details

Pet Name(s)
Species / Breed / Age
Primary Veterinarian / Clinic
Vet Phone Number
Preferred Emergency Clinic
Emergency Clinic Phone
Known medical conditions, allergies, or restrictions

Authorization & Decision Notes

I authorize the pet sitter / pet care provider to seek veterinary attention if I cannot be reached in time and my pet appears to need urgent care.
Maximum emergency spending amount authorized
Preferred payment / reimbursement plan
Preferred contact order
Secondary decision-maker / travel contact
Special decision notes or treatment limits

Acknowledgment

Customize this wording to fit your policies and local requirements before use.
Client Signature
Date
Pet Sitter Signature
Date

Template for business organization only. Customize with your own branding, policies, and client-specific details.