Quick answer: before leaving a pet with a sitter, boarding facility, family member or clinic, write down who can make decisions if you cannot be reached, how to reach you and a backup, and which regular and emergency clinics to contact. Confirm the care instructions and any authorization requirements with the provider and veterinary clinic before the handoff.
Reviewed November 3, 2026. Method: this printable worksheet organizes the information AVMA recommends sharing with an authorized emergency agent. It is a planning record, not a treatment plan, legal form, or substitute for forms required by a caregiver or veterinary clinic.
Pet and trip details
Owner and backup contacts
Caregiver and emergency decision-maker
Discuss the scope of any authorization directly with the person you choose and the veterinary clinic. Record the limits and preferences you have agreed with them, including decisions that require your direct consent. This worksheet does not grant authority or determine what a clinic will accept.
Regular and emergency veterinary clinics
Ask each clinic what records, signatures, authorization and payment arrangements it requires before someone else can bring your pet in. Do not put full card numbers or account passwords in this worksheet.
Care instructions confirmed with the provider
Copy the provider-confirmed routine and logistics below, or note where the provider can find the written instructions. For medication or health questions, use the instructions from your veterinary team; this page does not supply treatment directions.
Before handing over care
Source and limits
The AVMA recommends choosing an authorized agent for emergencies when an owner cannot be reached, sharing owner and clinic contacts, discussing decision limits and payment arrangements, putting the plan in writing, and checking documentation requirements with the veterinarian or emergency clinic. Follow the actual provider and clinic process for your situation.
- American Veterinary Medical Association: Ensuring your pet is protected when you're away — emergency-agent planning, written authorization, contact details, care information and clinic requirements.
This checklist does not give medical, legal, or treatment advice; authorize care; collect or transmit entries; or save them on a server. Confirm that a separate provider or clinic form is complete when required. For travel planning, see the official pet travel guide. To organize a sitter’s quoted trip costs, use the pet-sitting trip cost worksheet.
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