Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing Newtown Veterinary Specialists to release patient information to the primary care hospital or veterinarian.
By clicking Submit, I hereby authorize the staff of Newtown Veterinary Specialists to render any treatment that is deemed necessary to my pet(s) health while in custody of the hospital. Should unexpected and/or life-saving emergency care be required, the staff will make every attempt to contact me or my designated representative before proceeding with treatment. If they are unable to contact me, Newtown Veterinary Specialists has permission to provide such care. I understand that I am financially responsible for all procedures and treatments, and should my pet be admitted to the hospital, I will pay 75% of the high estimate outlined in the Estimate of Charges and provided to me by the veterinarian(s) treating my pet.