I am the owner for the above named animal and have the authority to execute this consent for the performance of the following procedure(s) or operation(s):

I understand that during the performance of the foregoing procedure(s) or operation (s), unforeseen conditions may be revealed that necessitate an extension of the foregoing procedure(s) or operations(s) or different procedure(s) or operation(s) than those set forth above. Therefore, I hereby consent to and authorize the performance of such procedure(s) or operation(s) as necessary and desirable in the exercise of the veterinarian’s professional judgment.

I also authorize the use of appropriate anesthetics and other medications, and I understand that the hospital support personnel will be employed as deemed necessary by the veterinarian.

Presurgical work costing $75 additional is required for animals five (5) years or older to help determine anesthetic risk and help reveal hidden organ dysfunction.

My animal is on an empty stomach and has had no food since 12 midnight last night for procedures requiring sedation and anesthesia.

Spay – My female animal is not in heat or pregnant. If she is, spay surgery will be at an additional cost because of increased risk of complications or may not be done at all.

My pet has acted normally for the past 24 hours – no coughing, vomiting, diarrhea, eating garbage, or other signs of illness.

Additional Information

I have read and understand this authorization and consent.