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Surgical Consent Form
My pet's has not eaten since
My pet is on the following medications and the last dose was given at:
I hereby acknowledge that pre-anesthetic blood at an additional cost has been recommended in an effort to minimize the risks associated with genral anesthesia and surgery and I,
Agree to the testing
Decline the testing
Have provided documentation of the results obtained in the past 30 days.
I request that while my pet is hospitalized the additional indiacated procedures are performed
No additional procedures
I am aware that all patients who receive general anesthesia will receive fluid therapy, pain management, nail trims, electrontic and manual monitoring (by veterinarian or registered veterinary technician) and body heat maintenance support. In additon all spay/neuter surgeries receive a tattoo in the right ear.
I understand that for some procedures and at the discretion and under the supervision of the case veterinarian, performance of the procedure and monitoring of anesthesia may be performed by the same person, assisted by electronic and non technician support, rather than monitoring by a dedicated anesthetist (DVM or RVT)
I authorize the use of appropriate pre-anesthestic and pain relief management as needed before and after the procedure.
I agree that the nature of these operations and procedures has been fully explained to me and I have no further questions.