Heartworm Test Waiver

Name







Address
















MM slash DD slash YYYY

Pet

Sex



MM slash DD slash YYYY

I hereby waive the testing process and release the doctor and staff of Metropolitan Veterinary Center
from any and all liability for any reactions from giving heartworm medication to my dog without prior
testing. Any medications other than approved methods have not been evaluated for efficacy and as such
Metropolitan Veterinary Center resumes no responsibility for any adverse side-effects they may cause.


MM slash DD slash YYYY

What's Next

  • 1

    Call us or schedule an
    appointment online.

  • 2

    Meet with a doctor for
    an initial exam.

  • 3

    Put a plan together for
    your pet.

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