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Every vet hospital has plenty opportunity to turn its unused cages into Adoption Central. I mean, why not give back to the community by using surplus space, material and staff time to place as many pets as possible?

It’s a goodwill gesture that makes staff happy, gives your clients cause to know how much you really care about animals and puts a huge smile on your face when your matchmaking efforts actually pay off.

At our hospital we place about one abandoned or stray pet every couple of weeks. Just yesterday our beloved Shakira (a small breed, eight-week pup someone dumped on our doorstep) went to her new home. Pretty, tiny, young and vivacious as her namesake, that one was easy to place—she lasted barely over a week before being snapped up.

Dumpings are one thing—you have to take ‘em. If they’re small we keep them in house. If they’re large and adoptable, we foster them at home (I take in about one a year, on average). If they’re absolutely unadoptable (very ill, aggressive, etc.) we call Animal Services…and everyone cries when they get picked up… Most, however, are easy enough to take on.

Adoptions of the abandoned are one thing…but sign-overs are another can of worms altogether.

Sign-overs occur when clients bring you pets they can no longer care for or whose treatment they cannot afford. Hospitals have the option of drafting a document that allows us to take over ownership of the pet to do as we like with them.

In these cases we’re free to treat them, take them home, give them away or euthanize them if we can’t alleviate their suffering or cure their disease. They belong to us now.

Though sign-overs are a humane option for placeable, treatable pets, lately it’s been getting to be harder for vet hospitals to do without cracking open that proverbial box of wigglies.

Vet hospitals all over the country have increasingly been treated to high-profile cases of supposed veterinary malfeasance when they take on this legal maneuver on a pets’ behalf.

Here’s a scenario: A dog is riddled with fleas, requiring a transfusion (or three) to nurse him back to health. The owners can’t afford it so they agree to sign him over to the hospital.

A week later the dog is living with a technician who fell in love with him. She paid for the basic materials for his care, her own dog provided blood for the transfusions and she’s in love with her new baby whose life she helped save.

Meanwhile, the previous owners have come back to the hospital saying they’ve changed their minds. The tech doesn’t want to give up the dog. He was poorly cared for by them. She’s offering an infinitely better home and she knows it. Her stance is etched in stainless steel. She’s willing to risk her job over it.

But the former owners are unrelenting. They call the local TV news and next thing you know the story’s out that X hospital steals dogs from their clients. Your clients make the phone ring off the hook, perhaps wondering how you, their vet, could have become so cruel when you’ve always been so caring…

A myriad of variations on this theme exist, some of them less exculpatory of the veterinarian than I’ve presented here, but most describe a situation where the vet was just trying to help the animal. Check out this recent story. And this one.

So it was that when a three year-old Dachshund come in last Wednesday, down in the rear with no deep pain (for over a week!), I’d had to fight with myself over having her signed over.

I didn’t know these people. They might change their minds next week and want her back. And I didn’t know whether she’d ever walk or not. So I gave up the battle by resigning myself to the euthanasia the owners had decided upon.

In a less contentious, less legalistic world I’d have taken on her care, as I did for another Dachshund four or five years back in almost the same exact condition. Those owners never called again. But it always worried me that they would and that the new home he’d gone to would suffer the separation and the knowledge that he’d had to return to a lesser home. Or that I’d be accused of having stolen him, forged their signatures, whatever…

It’s in these cases that veterinarians and hospital managers have been forced to adopt policies against sign-overs. The abandoned are hard enough to deal with and that’s where we should expend our energies. Sign-overs often simply serve to prove the axiom: No good deed ever goes unpunished.

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Comments
Patty - Why don't vets just have a legal surrender form on hand that the relinquishing owners sign? Then the benevolent techs and others who bring these animals into their homes have a very solid leg to stand on.
# Posted By Alex | 4/26/08 12:31 PM
I agree with the above with the added step of having it notarized (get a volunteer or two from your front office staff to take the exam) and if you really want to be tough take a picture of the owners holding the form. The picture is there more to let the owners know that you are serious.

And of course, make it perfectly clear that they will under no circumstances get the pet back.
# Posted By 2CatMom | 4/26/08 2:54 PM
The hospital where I work accepted surrenders up until late last year. They came to screeching halt due to the harassment of former owners who DO sign documents to relinquish ownership(we have a notary on staff, but I don't think that fact ever crossed anyone's mind) wanting their now healthy & well adjusted pet back. It isn't just the legal standing, it's the outright bad publicity that they manage to trumpet and the public buys every word of it. The vet is always the bad guy. Never mind that their pet was dying of parvo or had a compound fracture they weren't able to afford treatment for and made the decision to euthanize AND signed the euthanasia form! The offer of relinquishment wasn't even mentioned until they had made the decision to euthanize. The same people that were ready to kill their pet for a skin condition wants their pet back after the person who adopted them spent time, emotion and money getting the pet well.

However, we tried to strike balance by refusing to euthanize a pet just because the owner can't or won't afford treatment. That doesn't mean we won't euthanize a pet that could be saved with thousands of dollars of diagnositics, treatments and months of rehabilitation...we understand that not everyone can or wants to spend $5000 on their pet that may or may not get well. But if the owner won't even pay for an xray and a splint for a broken leg, won't test for a UTI to rule out the possible cause for inappropriate elimination, or at least *try* to manage their pet's lameness with time and pain meds...then euthanasia will not happen.
# Posted By Valkyrie | 4/26/08 5:10 PM
I agree, you should have some kind of legal release form that will protect you from suits.
# Posted By Virtual Pet Lover | 4/26/08 5:27 PM
I actually 'own' one of these contentious dogs. Owner brings dog in to our emergency clinic vomiting blood and foam. After a bunch of diagnostics and ugly chest rads full of pneumonia, we are unable to find any treatment that helps. We finally take some abdominal rads to find a 4 inch box cutter blade in the poor dog's stomach. Owner leaves the dog overnight in our hospital to try and scrounge up funds, and finally decides she wants to take the dog home to see if it passes. Ummmm, no. We cannot let you take this dog home and eviscerate itself. This blade is enormous. Please euthanize if you can't pay for surgery. So, then we offer that she can surrender and she was soooo happy! She had already decided to euthanize. She signed the requisite surrender forms. I paid for the surgery and helped him through a very long, expensive recovery with horrid pneumonia. I actually intended to place him with breed rescue when we were done rehabbing him, but you can all guess what happened.

Anyhow, she started calling the clinic. First she just wanted him back. Mind you, this is after she told us that she found out her live-in boyfriend fed the dog the blade wrapped up in meat. Then, she'd call drunk in the middle of the night saying we stole her dog. Exactly the story Dr. Patty is talking about. She called and called. It almost made my clinic have to change it's policy. I was in the same boat as Dr. Patty's tech - I'd have rather lost my job than give this animal back to her. I think the bosses might have had a tough decision if she'd actually made good on her threat to call the press. I've had the dog for a year and a half now and they tell me she just called again last week. (I've since moved out of state.)

I guess my point in all of this is, what was the alternative? Should we have let her take this dog home and try to pass a giant box-cutter blade through it's intestines? Would we have been liable in animal cruelty at that point? Should we have just euthanized a very 'fixable' dog just to avoid the headache? She signed all the appropriate papers and was talked to at length about how she would have no further rights to the dog, but obviously that didn't matter. We have to sleep at night, but we also have to have a bed to sleep in.
# Posted By Anon | 4/26/08 7:26 PM
Wow - I had no idea the level of irresponsibility of some people. Talk about not being accountable for your actions. Guess to be totally safe you'd have to videotape the surrender with the owner saying that they understood that the condition was treatable, blah, blah, so you could send it to the media. And as for getting drunk phone calls - keep these tapes.

Its too bad that these types of people ruin it for others. I know if my animal had a treatable condition and I couldn't afford the treatment, I would be happy to sign him over to a new home.

Guess the other folks are the ones who would have told Solomon to cut the baby in half.
# Posted By 2CatMom | 4/26/08 7:41 PM
Unfortunately, in today's world, even if you have a signed, notarized form, there are people who will sue and attorneys who will take the case. And possibly win--their clilent was under "duress" when they signed.

So what about a policy- you can have the pet back, but first all medical bills have to be paid in full. Also the person who now has the pet- you owe them for petsitting. If they didn't have the money for the surgery in the first place, they probably won't have it now. And at least the vet won't look like a bad guy...they will be offering the pet's return to the owners AFTER the bills have been paid. Which is totally reasonable.
# Posted By agadoresmama | 4/26/08 8:06 PM
I would think one way round this problem is to actually BUY the animal from the relinquishing owner for a nominal fee – say $1.00. This may be morally irksome in some ways especially where outrageous neglect or abuse has occurred, but once money has changed hands and a receipt issued (and a photo of the owner holding the receipt taken!) then that should be the end of it. A conventional commercial transaction has taken place – end of story!
# Posted By Alison | 4/26/08 8:18 PM
The legal form is often used--and it gets notarized. But that doesn't keep the media off your front porch. By the time the air's been cleared the damage has been done. Many hospitals suffer financially even in the wake of unsubstantiated claims of negligence, malfeasance, etc.
# Posted By Dr. Patty Khuly | 4/26/08 8:54 PM
Okay,
granted maybe I would feel differently if your example wasn't a young dachshund. ( I have 4) Couldn't you have offered placement in dachshund rescue...I know of several doxie groups that specifically will take Doxies with back issues and have the surgery then rehome them. There are SO many better options than euthanasia because a client can't pay. And I don't mean to be critical here, but after reading both your blog and your article in Vet Economics, I can't help but feel that the spotlight is becoming more focused on income then on going the extra mile for the pet. Maybe that is just true of what you see in your area. I know some vets feel resentful that the rescue community has some alturistic expectations of them..but let's get real...it should be about the love of the animal, not about the bottom line. Somehow both manage to coexist very well for my vet, and others I know. Enough animals are already dying in shelters and on our streets, we hardly need to be so afraid of a little bad press that they are dying needless in vet's offices as well.
# Posted By LorriM | 4/26/08 9:59 PM
The "bottom line" is what allows you to continue to do things for the love of the animals...make no mistake, a veterinary clinic is a business. And not to sound harsh, but animals are animals - the concept of dying needlessly is our take on the situation, not theirs. Animals are capable of feeling pain, anxiety, fear, hunger, etc., but do not have the ability to think existentially. Yes, it's sad to think of the long life an animal might live if it weren't for a medical condition for which the owners can't pay to treat - but I feel euthanasia rendered humanely and compassionately is a kind thing to do if the animal's needs can't be met satisfactorily, and neither veterinarians nor owners should be made to feel guilty about this option.
As far as sign-overs are concerned, I don't understand how it even becomes a media story to begin with...if the media did any fact-checking at all, you'd think all that would need to be done to end it would be to produce the signed form, end of story. Seems straightforward enough to me. although I know from experience it rarely is.
# Posted By anna | 4/26/08 11:36 PM
LorriM: we have to feel out these situations individally. With owners who are blase about the pet's options it's easier to offer to keep the pet. With hysterical, distraught owners, ironically it's much harder. I'll till never say never to accepting sign-overs but it's inadvisable, at best.
# Posted By Dr. Patty Khuly | 4/27/08 10:36 AM
This is what we do - you sign over the pet, that is the end of it. If you call inquiring about said pets recovery, you are told that you are no longer the legal owner of the animal and we cannot legally update you on the animal's condition.. If you ask where the pet went, you get the same answer. If you continue to call or show up to harass the staff, the police are called. We have never had to call the police on someone but would do it in a heartbeat.

I am horrified that Anon was called by the previous owner even after she moved to another state - she never should have been told who had the dog.
# Posted By Kim, CVT | 4/27/08 11:32 AM
Our breed rescue has not had problems with former owners trying to repossess relinquished animals. In fact, I'm often saddened by the way that they just drop off the face of the earth, when they had previously been so voluble about "doing the best for Buddy who we LOOOVVVVE so much."

But I guess a relinquishment in a vet office is more of a "duress" situation.

If animal shelters don't have the same issues with relinquishers, then why not?

If you can answer the question, then try to emulate whatever it is they are doing that makes a difference.

The suggestion of buying the animal for a buck makes sense.
# Posted By H Houlahan | 4/27/08 12:05 PM
I dunno. That one instance I previously recalled -- a woman who was in the vets office to euthanize her perfectly healthy lovebird and lop-eared bunny because she was moving and it was simply inconvenient to take them with her -- I am REALLY glad the staff talked her into signing them over instead.

It saved their lives. A tech took the lovebird (Oh, heaven forfend! Staff adopting give-ups!) and I drove the lop-eared bunny to a rescue (as I happened to be a client in the waiting area where the whole drama went down). The rescue found the bunny a super good home in about 24 hours. Yay for the bunny.
# Posted By Stefani | 4/27/08 11:22 PM
"(Oh, heaven forfend! Staff adopting give-ups!)"

If clinic staff took on every needy animal, we'd be hoarders in a matter of months. Heaven forfend that people actually took responsibility for their own pets and avoided these situations altogether.

Friday, I spoke with an owner who had recently moved into city limits and was now bound by a two dog maximum (she has 3 dogs).

"Well, I guess I'll have to just euthanize one of them," she told me. I wanted to say, "Don't look at us! We *won't* be doing it."
# Posted By Michelle Schwab | 4/28/08 8:02 AM
how about adding an addendum to the surrender papers the fact that if the owner chances their mind, they will be billed for the entire proceedure and a boarding fee for each and every day that the pet has been at the new home.. and maybe icing on the cake a 'surrender reversal fee" that makes it financially very expensive to get the pet back. If they weren't willing to shell out the money in the first place, I bet the financial burden to regaining the pet will keep people from calling..

Just a thought :)
# Posted By Connie | 4/29/08 5:22 PM
I think the $1.00 purchase is the ideal way out. The former owner no longer owns the pet and is legally not entitled to any information about the animal. It seems that with a legal sale of property form (and someone on staff with a notary seal) would solve the problem in way that can't be "untangled"

just make sure the $1.00 is paid by check or CC.
# Posted By LorriM | 4/30/08 12:20 AM
My present state of mind must be either clouded with cynicism or unusually clear. The above scenario is unlike a previous blog where the owners made good faith attempts to procure payment. It is also vastly different than a euthanasia request of convenience to dispose of perfectly healthy animals.

I'm having a tough time thinking the media is hunger-crazed to viciously malign a totally "innocent" business looking to save & place an adoptable, fixable pet. If the former owners are lying, further investigation should reveal truth in descrepancy. Ok, maybe not "every" single time. Surely a court proceeding would (maybe I've watched too much court TV).

If a considerable part of "relinquishment documents" had to be hand-written by the owner, with specific details---again, I would think that was protection. And lastly, if this is soon to become a common problem, perhaps a neutral 3rd party (such as animal control, shelter, rescue group, etc. ) should take possession of the pet and agree to be its advocate.

I read an example like the above, and feel that I live in another country.
# Posted By Barbara A. Albright/New Hampshire | 5/1/08 2:23 PM
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