Surgery Admission and Consent Form

Save time during your next appointment. Complete your surgery admission and consent form online from any device at any time before your visit.

(if different than above)
Is your pet on any additional medication?
If the doctor feels it is necessary due to your pet's age/health condition, your pet may be put on IV/SQ fluids.
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We are committed to the practice of high-quality medicine; therefore, your pet may be prescribed and you may be charged for additional pain relief medications and/or antibiotics upon discharge.

Statement of Medical and Financial Responsibility:

I hereby give my consent and accept financial responsibility for the above listed procedure(s) to be performed. Even though pets are given a pre-procedure exam, I understand that there are risks involved in the administration of general anesthesia and in performing all surgeries; therefore, I give permission for the performance of any additional treatments necessary for the welfare of my pet.

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