Beef & Dairy Cattle
Dogs and Cats
Small Animal Surgery
Treatment Authorization Form
Please fill out the Treatment Authorization Form below. If you have any questions, please feel free to contact us.
Please note any fields with * are required.
In the event that I cannot be reached, this form authorizes the following people to seek veterinary care for any animals currently active under my account with Appalachian Veterinary Services, Inc.. Services authorized include emergency services, medical diagnostics and treatment, administration of medication, and euthanasia. I understand I am personally responsible for all costs and fees associated with any services advised and provided, and agree to pay in accordance with the billing policies of Appalachian Veterinary Services, Inc
I have read and understand.