I am the owner or authorized agent of the animal listed above, and being over the age of 18, I authorize Veterinary Specialists of the Rockies, its staff and contracted agents to perform medical and initial diagnostic/surgical procedures on my pet as required for diagnosis and treatment. Veterinary Specialists of the Rockies takes all possible care in the treatment and handling of animals, but cannot assume responsibility in the case of fire, theft or escape. I assume full responsibility for all charges incurred for the care of my pet and understand these charges will be paid as the services are rendered. I also acknowledge that deposits may be required for procedures, hospitalization or surgical treatment. I understand that as the owner or agent I am financially responsible for all charges relating to this patient. I have reviewed this patient registration form and provided the most up to date and accurate patient and client information I have available. I have also read and agreed to this treatment authorization, the financial obligation and for use of photos on social media and for educational purposes.