Anesthesia Consent Form

Anesthesia Consent Form

  • Number where you can be reached today in case of emergency
  • Please tells us about your pet. Check the box next to each item that is true.

    Whenever an animal undergoes anesthesia and/or surgery, some risk is involved. The amount of risk depends on many factors, including age, physical condition and condition of organ systems (i.e. heart, kidneys, liver, etc.). Anesthetic risks can be greatly reduced with prior knowledge of existing problems. Therefore, it is our policy that all pets undergoing anesthesia be evaluated with a physical exam and labwork prior to anesthesia.


    Please ask our staff for the cost of these additional services:

  • Signature will be required upon check-in