Against Medical Advice (AMA) Client First Name(Required)Client Last Name(Required)Pet's NameDate(Required) MM slash DD slash YYYY Consent(Required) By checking this box and submitting this form, I certify that I am refusing, of my own volition, and against medical advice, the recommendation of the veterinarians at Paws into Grace to perform a virtual and/or in-person examination of my pet prior to prescribing sedation medication against medical advice. The medical risks have been explained to me by a member of the staff and I understand those risks. I hereby release Paws into Grace, its administration, personnel, and my veterinarian from any responsibility for all consequences, which may result from my refusal to allow a virtual and/or in-person examination of my pet.
