OWNER INFORMATION Owner Name Email Phone Address ANIMAL DETAILS ➕ Add Another Animal AUTHORIZATION & CONSENT I authorize Red Barn Veterinary Services PLLC to provide veterinary care. I do NOT authorize veterinary care. TERMS & CONDITIONS (Initial Each) Initials – Consent to Treatment Initials – Payment Responsibility Initials – Liability / Risk Acknowledgement Initials – Jurisdiction / Governing Law (Florida) Date Signed Submit Registration
