Surgery/Anesthesia Consent Form

Before your pet’s procedure, please complete this consent form to ensure we have the necessary information for a safe and smooth surgical experience.

Get Started

Surgery/Anesthesia Consent Form

Your pet’s safety is our priority—please fill out this consent form so we can provide the best care during their surgery and anesthesia.

Vaccinations must be current to stay in the hospital. If your pet has been vaccinated elsewhere, please either bring a copy of the records (or receipt) or upload a copy to us prior to your pet's visit. I verify that my pet has had a Rabies vaccination and Upper Respiratory/Distemper vaccination within the last 1-3 years

External Parasite Protection

Pets found to have fleas or ticks upon presentation will be treated and charged accordingly ($15.00 for pets under 25#, $25.00 for pets over 25#)

Pre-Anesthetic Bloodwork

Pre-Anesthetic Bloodwork appropriate to your pet's age and health status has been performed or will be performed prior to giving any medications.

Resuscitative directive

Other services

Contact information

It is CRITICAL that we have contact information so that you can be reached throughout the day in case of Emergency or the Doctor needing to discuss your pet's condition.

By Typing my Name Below*

I have been advised as to the nature of the procedure(s) and the risks involved. I understand that my pet may be shaved in multiple locations for both the procedures identified above as well as for an IV catheter. I realize that results cannot be guaranteed but understand that the Doctors and staff will, in good faith, perform procedures to the best of their ability to prevent complications. I agree to pay for all services rendered at the time of my pet's discharge regardless of outcome.