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Anesthetic Consent Form

  • The nature of such service has been described to me to my satisfaction and I understand the risks involved. I realize that no guarantee, nor warranty, can ethically or professionally be made regarding the results. I understand that during the performance of the foregoing procedure or operation, unforeseen conditions may be revealed that necessitate an extension of the foregoing procedure or operation than those set forth above. Therefore, I hereby consent to and authorize the performance of such procedures or operations as are necessary and desirable in the exercise of the veterinarians' professional judgment. I also authorize the use of appropriate anesthetics and other medications, and I understand the risks involved.

  • In order to protect our patients from infectious diseases, we require that all animals entering the hospital are flea-free and show proof of current vaccinations through a licensed veterinarian for the following diseases: CANINE: Rabies, DHPP, Bordetella, and CIV. FELINE: Rabies, FVCRP (Distemper, Panleukopenia, Rhinotracheitis, Calici)

  • In order to protect our patients from infectious diseases, we require that all animals entering the hospital are flea-free and show proof of current vaccinations through a licensed veterinarian for the following diseases: CANINE: Rabies, DHPP, Bordetella, and CIV. FELINE: Rabies, FVCRP (Distemper, Panleukopenia, Rhinotracheitis, Calici)

  • Sometimes during an anesthetic procedure, additional problems are detected and require further treatment. We will attempt to contact you before proceeding. However, if you cannot be reached, please initial below on how you would like us to proceed.
  • Typing your name here acts as your digital signature for consent