Hospitalization Consent Form

When your pet needs to stay with us for observation, treatment, or recovery, completing the Hospitalization Consent Form ensures we have your authorization and the information necessary to provide attentive, personalized care.

How to Complete the Form

Provide your information, including your name, contact details, and an emergency contact person.
Share your pet’s details such as name, species, age, and any known medical conditions.
Specify care preferences, including feeding instructions, medications, or special needs.
Acknowledge consent to give our team permission to perform diagnostics, treatments, or procedures as discussed.
Submit the form online so our team can review it before your pet’s arrival.

Our veterinary staff will keep you updated on your pet’s progress and ensure their comfort and safety during their stay.

A fluffy cat with brown and white fur lies on a tiled floor, looking directly at the camera with green eyes

Hospitalization Consent Form

Completing this form helps our team understand your pet’s current needs, emergency contact details, and any special instructions for their stay. By submitting it ahead of time, you’ll help us streamline your pet’s check-in and begin treatment without delay.

Name *

First

Last

Email *

Home Phone

Mobile Phone

Work Phone

Address *

Address Line 1

City

State

Zip Code

Pet's Name *

Species *

Breed *

Age or Date of Birth *

Color or Markings *

Reason for visit or procedure description: *

I, the above named person, confirm that I am over eighteen (18) years of age and hereby give my consent to admit the above named animal into Boysen Animal Hospital for the reason or procedure described above. *

I have read and agree to the statement above

I am the owner of the above-mentioned animal. I have discussed the reasons for my pet's hospitalization with a veterinarian and I am satisfied with the plan of management for my pet's condition. I have also had the likely fees explained to me and accept responsibility for payment of these fees at the time of my pet's discharge. While my pet is in Boysen Animal Hospital receiving treatment, I agree to indemnify Boysen Animal Hospital, its servants or agents, from any loss or liability which they may incur as a result of any inaccuracy, whether intended or otherwise, in this my solemn declaration. *

I have read and agree to the declaration above

Signature *

Clear Signature

Date *

Reason or fees

Boysen Animal Hospital, 2156 Frontage Road North, Waite Park, MN 56387

For Urgent Updates or Questions

If your pet’s condition changes or you need to update your contact information during their stay, please call us directly at (320) 258-5400. This helps us provide immediate attention and keep communication clear.

Hospitalization Consent Form

How to Complete the Form

Hospitalization Consent Form

For Urgent Updates or Questions

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