Do not perform any treatment or diagnostic testing on my pet that was not outlined in the treatment plan presented to me today. I understand that in some situations, this decision may negatively impact my pet's health, and I take responsibility for delaying care. In making this decision, the doctors and staff at Heart of Brooklyn Veterinary Hospital will not be held liable or responsible for the results of my decision. I understand that should I choose to pursue these recommendations at a later time, follow-up charges will apply in addition to today. Recommendations for unexpected additional services may change as my pet's clinical status changes.

Perform additional treatments/services deemed medically necessary by the attending doctor as detailed below. I understand these services were not listed on the treatment plan presented to me, and thus additional charges are my responsibility (due at discharge). Heart of Brooklyn Veterinary staff will make every attempt to contact me at the numbers I provided before proceeding with the additional services. Treatments/diagnostics that are purely elective, or that will not benefit my pet's immediate health will not be performed without my permission.

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