Medication Bloodwork Waiver Name * First Name Last Name Email * Pet's Name * Medication Name * * I understand that this medication is intended to improve comfort and quality of life in my pet. I understand that bloodwork is recommended to minimize risks associated with the medication above. With this knowledge, I decline to do bloodwork at this time and assume liability for any complications that may arise from this choice. I understand that the decision to bypass bloodwork at this time is contrary to the recommendations of the Madrona Veterinary Housecalls, regardless of how frequently or infrequently my pet receives this medication. This waiver is good for 6 months from this signed date. If no bloodwork is done within 6 months of this date, we will need to have another waiver signed in order to dispense additional medication. Signature * Date * MM DD YYYY Thank you!
