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ITAH - Blood Work Test Waiver

Blood Work Test Waiver
It is a policy of Indian Tree Animal Hospital to require blood work testing prior to filling any and all medications for your pet.

The reasons behind why my pet needs this testing have been explained to me. I understand that Indian Tree Animal Hospital is not liable for any adverse reactions my pet may have due to administering medications without testing the necessary blood work as recommended by my veterinarian. I understand the risks that are associated with failure to test my pet.

I have been advised as to the risks of not performing a blood test and hereby decline this procedure. I also understand that this waiver expires one year from today's date. *This question is required.
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This question requires a valid date format of MM/DD/YYYY.