Surgical Authorization

1. I am the owner or representative of the animal identified above. I am 18 years or older and I AM ENTITLED TO GIVE THIS AUTHORIZATION.
2. I consent to the veterinarian administering analgesic, sedation or general anesthetic.
3. The veterinarian or technician has provided me with an accurate and up to date estimate for the cost of the procedure, and I am giving written authorization to work within said estimate.
4. The veterinarian or technician has described the procedures on my estimate and has explained to my satisfaction the purpose for performing them and the RISKS INVOLVED with them. I realize that there can be NO GUARANTEE as to the animal’s condition or the outcome of any procedures.
5. I understand that UNFORSEEN CONDITIONS may be revealed during the identified procedures which in the opinion of the attending veterinarian may require more extensive or different procedures or treatments.
6. I understand that REACTIONS OR COMPLICATIONS TO ANESTHETICS, including death, can occur prior to, during and after general anesthesia despite close supervision and the use of monitoring devices.
7. I consent that I understand the above information.

Financial Authorization

If there are additional extractions or medical procedures that would increase the estimate I was provided and we are not able to reach you:

Resuscitation

In the event that my pet experiences a cardiac, respiratory or other life-threatening emergency that requires resuscitation or other urgent care:

I hereby consent that if I do not claim my pet within ten (10) days of the completion of an in-hospital visit of any type, the pet CAN BE CONSIDERED ABANDONED. The hospital will then be entitled to transfer the pet to an animal shelter or rescue. The veterinarian must first attempt to contact me at least five (5) times by at least 2 different methods, such as by phone, email and will also attempt to call my emergency contact person if I have left one.

** IF FOR SOME REASON WE ARE UNABLE TO CONTACT YOU AFTER SEVERAL DAYS OF TRYING, WHO CAN WE CONTACT THAT WILL BE ABLE TO TAKE RESPONSIBILITY FOR YOUR PET?