Anesthesia and Surgical Consent Form

I am the owner or agent for the owner of the animal described above and I have the authority to execute consent.

I authorize the insertion of a permanent identification microchip:
To your knowledge has this patient ever had any adverse reactions to anesthesia or tranquilizer?

I understand that during the performance of the foregoing procedure(s) or operation(s), unforeseen conditions may be revealed that necessitate an extension of the foregoing procedure(s) or operation(s) or a different procedure(s) or operation(s) than those set forth above. Therefore, I hereby consent to, and authorize the performance of such procedure(s) or operation(s).I also authorize the use of appropriate anesthetics and other medications, and I understand that hospital support personnel will be employed as deemed necessary by the veterinarian.

I have been advised to the nature of the procedure(s) or operations(s) and the risks involved. I realize that results cannot be guaranteed.

** We offer a complimentary nail trim for anesthetic procedure. If you DO NOT want us to trim your pet's nails please inform us. **

 

 

Sign above