Agent Authorization Form

I Authorize the below agent to make appointments and order medication for my horse(s) and give him/her permission to charge such appointments and medications to my credit cards. Thank you for retaining Athletic equine Veterinary Services as your Equine Veterinary Health provider. This agreement will govern the veterinary services we provide to the horse owner, either directly or as approved by the authorized agent. This agreement applies to all horses owned or leased by the client and applies to any and all services, procedures, medications and farm calls, provided by Athletic equine veterinary services, whether the horse is listed on the agreement or not. *I authorize athletic equine Veterinary Services to provide routine and emergency care to my horse(s) in my absence or at the request of my authorized agent. I authorize the use of any necessary sedation and medication(s).