Please read and initial the following assumptions:
By signing this form you are indicating you understand that managing behavior problems involves inherent risk, and that you agree not to hold Heart of Chelsea, Dr. Andrea Y. Tu or any other person or entity employed by or affiliated with the preceding persons or entities (collectively, “Releasees”), responsible for any injuries that may happen to you, other people, other animals or your pet during or following the course of treatment. Furthermore, you agree to identify and hold Releasees harmless from and against any and all third-party claims, damages, liabilities, actions, judgments, suits, costs, disbursements and expenses of any kind of nature, including, without limitation, reasonable fees and disbursements of counsel, that may be imposed on, incurred by or asserted or awarded against Releasees in connection with the treatment of your pet.