Elective Procedure Information
Owner Authorizations & Release
I understand all anesthesia & surgery involve some potential risks and complications for my pet.
Acceptance of Risk
You are to use all reasonable precaution against injury, escape, or death of my pet. I understand that anesthesia and surgery always involve some risk to my pet (such as unknown internal physical abnormalities, medication allergies, surgical complications, internal bleeding, shock, incision dehiscence, and post-surgical infections): and agree to hold you harmless, in the absence of negligence, in connection with these procedures. I acknowledge that no guarantee or assurance has been made to me as to the results that may be obtained. In the event complications arise and I cannot be immediately contacted at the below listed phone number, you are directed to make the decision you deem best for my pet. I agree to pay at the time services rendered. I have read the foregoing, understand what it says, and agree.
***Hospital Use*** Admitting Personnel Initials: __________________