Surgical / Sedation Consent Form

Your pet is with us today for intravenous sedation or a procedure that will require anesthesia. We will perform a physical examination on your pet before administering the anesthesia. We required a pre-operative blood profile (performed within a maximum of 30 days prior to procedure) to check organ functions and to insure your pet is in a low risk category during anesthesia by ruling out pre-existing internal problems that may not be evident physically, but could possibly lead to complications. One of our staff members went over the results with you prior to this procedure.
  • I assume full financial responsibility of this pet. I understand there is always a potential risk for anesthesia and surgery. Animal Medical Care Center is to use all reasonable precautions against injury, escape, or death of my pet. I understand that no guarantee or assurance has been made as to the results obtained. Although we do quote prices for routine surgeries over the telephone and we make every effort to adhere to them, complications, estrus, pregnancy, and obesity may incur additional fees.
  • ADDITIONAL PROCEDURES WHICH YOU MAY ELECT FOR YOUR PET AT THIS TIME