Prescription Refills and Requests: Please give a 24 hour notice for prescription requests.

Online Forms

Surgery Consent Form

Please fill out this form as completely and accurately as possible so we can
get to know you and your pet(s) before your visit.

Name *

First

Last

Email *

Pet's Name *

Emergency Phone Number *

Dental Surgeries

Sign off for bloodwork
Dental x-rays,
Whether they would like to be notified for extractions

Generalized Surgeries

Sign off for bloodwork
Whether they would like an AVID microchip placed while under sedation).

I am the owner (or authorized agent of the owner) of the animal described above, and have the authority to execute this consent. I understand that some risk always exists with anesthesia, even in apparently healthy animals, including the possibility of death. I have discussed my concerns with the veterinarian and understand that it may be necessary to provide additional medical or surgical treatment to my pet in the event of unforeseen circumstances. I realize that no guarantee, legal or ethical, can be made to me regarding the outcome of any procedure performed. Subject to my directions above, I hereby authorize the use of anesthetics and other medications, as well as any such additional treatment, as deemed necessary by the veterinarian. I understand that hospital personnel will be employed in treating my pet. I have carefully read, and fully understand, this consent. *

I have read and understand

The fees associated with these services have been explained to me, and I agree to pay such fees in full at the time my pet is released from the hospital. *

I have read and agree

Signature *

Today's Date *

Name

Online Forms

Surgery Consent Form

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