Sedation Authorization

Phone(Required)

Email(Required)

Pet's Name(Required)

Species:(Required)

Sex:(Required)

Color:(Required)

Markings:(Required)

Age:(Required)

Reason for Sedation:(Required)

Any additional procedure(s) done while your pet is here today?:

We recommend post-operative pain mediciation for a period of at least a few days to help with patient comfort. The ability to decline pain medication is no longer an option and the price is incorporated in the price of the procedure.

I am the owner or agent for the above described animal and have the authority to execute this consent and authorization of the above named surgery(s). I understand that during the performance of the procedure(s), unforseen conditions may be revealed that necessitate an extension of the foregoing procedure(s), or different procedure(s), than those set forth previously, as well as those deemed necessary to treat life-threatening emergencies. As with all anesthetic treatment, and/or surgical procedures, I understand there are risk inherent in these services. I hereby consent and authorize the performance of such procedure(s) as necessary and desirable in the exercise of the veterinarian's professional judgment. I have been advised of the nature of the procedure(s), as well as the risks involved, and also realize that results cannot be guaranteed. I acknowledge that staff members at this practice have explained the procedures to me, answered questions to my satisfaction, and cannot be held responsible for any unforeseen results. Further, I understand that I am financially responsible for all costs incurred during this surgery, treatment, and hospitalization. I additionally authorize the use of appropriate anesthesia, pathologist examination of excised tissue as deemed appropriate by the veterinarian, and the administration of other medications, and understand the hospital staff will be utilized as deemed necessary by the veterinarian. I have read and understand this authorization and consent.(Required)

Contact Us

About Us