Partner Veterinary Acknowledgement and Release Waiver

information For AVMA.

PVESC Location

I understand that working with animals does pose potential risks and sources of injuries (including but not limited to bites, scratches, etc.) I will exercise caution when working with patients and follow safety instructions from the supervising veterinarian and support staff. I confirm that I have health insurance. I will report any injures that occur immediately to the supervising veterinarian or hospital steward.

Please provide name, relationship and contact information for emergency contact:

For Veterinary Student Externs only: you must carry professional liability insurance. AVMA PLIT liability insurance is free for all student members of the AVMA. Please enter your coverage details here:

By printing my name below, I understand and acknowledge that I have careful read the details above, that I understand the terms and conditions of this Waiver, and that I am voluntarily entering into it.

Name

Date / Time