Coffee Road Animal Hospital 3534 Coffee Road Bakersfield, CA 93308 PERMISSION TO SEDATE Occasionally some pets become agitated and extremely nervous when away from home and around other animals. To minimize this stress on your pet it is sometimes necessary to medicate with a sedative to keep your pet safe and comfortable. Of course, your pet is monitored and we would never sedate a pet that is not experiencing extreme agitation or nervousness. Please indicate your wishes regarding sedation below. Please also be aware that if sedation is necessary there is a charge of $4.00 per day to administer the medication. _____ I DO approve sedation if necessary. _____ I DO NOT approve sedation. I understand that should the veterinarian find it is life threatening or inhumane NOT to sedate my pet; this waiver becomes invalid. This agreement shall apply to all pets I board at COFFEE ROAD ANIMAL HOSPITAL, INC & PET RESORT, and will remain in effect indefinitely. _________________________________ Signature of owner or responsible party __________ Date