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Anesthesia/Surgery Consent Form

An inherent health risk exists for any patient undergoing a surgical or medical procedure that includes anesthesia.  In an effort to minimize that risk, each of our patients is given both a complete physical examination and a set of laboratory (blood) tests prior to procedure(s). As an additional safety measure, we place an intravenous (I.V.) catheter before anesthetic procedures. 

Any significant abnormalities or risk factors revealed by laboratory testing or physical examination will be noted.  You will be contacted to discuss this information before we continue with the scheduled procedure(s). 

If you have any questions or concerns about today’s procedure(s), please discuss them with a staff veterinarian before you leave your pet.  If you would like a written estimate of the costs and have not been given one, please ask a staff member and one will be provided for you. 

I have read and understand the above and accept the inherent risks of today’s anesthesia and related surgical/medical procedures for my pet including postoperative complicationsI also understand that payment for services rendered will be due in full at the time of my pet’s releaseA doctor is on staff and available for problems, but we do not provide 24-hour care. 

  • Please list the procedures.
  • Please list all.
  • Date Format: MM slash DD slash YYYY