VET NOTIFICATION

Dear Dr. __________________:

          This is to inform you that I have contracted the services of Pet Nanny of Topeka to care for our pets

___       from ______________to ________________

___       care on-going throughout the year.

Should my pet(s) require medical attention while under the care of my pet sitter, I authorize you to extend treatment.*  I will be responsible for the payment of your veterinary services.

Thank you,

                                                                                                                   Name(s) of Pet(s)

                                                                                                                    __________________

____________________________________                                    __________________

Pet Owner's Signature                                                                              __________________

                                                                                                                    __________________

*Exclusions: __________________________________                   __________________

                      __________________________________                   __________________

                      __________________________________

_______________________________________

Citizen Name (Please Print)

_______________________________________

Authorized Signature