Home Visit Consent & Treatment Authorisation Form
A home-visit consent template — treatment authority, a spend limit and emergency wishes agreed, so a vet can act in your pet’s interest at home.
Description
Form fields
Everything the Home Visit Consent & Treatment Authorisation Form above collects — 11 fields, so you can see exactly what it captures before you make it your own.
Home Visit Consent & Authorisation
Pet's name
Short Answer
Do you consent to us examining and treating your pet?
Yes/No
Spend limit we may authorise before discussing further (£)
Number
Do you consent to transport to a clinic if treatment needs it?
Yes/No
Your vet / nearest clinic (if we need referral)
Short Answer
Anything we should know before treating?
Long Answer
Emergency contact (if we can't reach you)
Short Answer
Your name
Name
Email address

Contact number
Telephone
Signature
Signature
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Template FAQs
Common questions about the Home Visit Consent & Treatment Authorisation Form — what it captures, when to use it, and how to make it your own.
Why do I need to authorise treatment for a home visit?
So the vet can examine and treat your pet, and act in its best interest if something is found, without losing time chasing authority. Clear consent up front keeps the visit safe and decisive.
What is the spend limit for?
It’s the amount of treatment you authorise before the vet pauses to discuss further costs with you. It keeps you in control of decisions while letting the vet get on with necessary care.
What if my pet needs the clinic?
Some treatment needs equipment a mobile vet can’t carry. The form captures your consent to transport your pet to a clinic if that’s in its best interest, so there’s no delay if it’s needed.
Does this cover emergencies?
It records your emergency wishes and a contact, but a true emergency may need an emergency vet. The authorisation lets the home vet act appropriately within what they can safely do at your home.
Can I ask questions before authorising?
Always — the vet will explain what they propose and why. The form records your consent; it never replaces the conversation about your pet’s care.
Is the form free?
Yes — free with a Fun Forms account, fully customisable, and it can be completed before or at the start of a visit.
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