Please note: Due to understaffing, we will be temporarily be closing at 5:30 pm on Tuesdays.
Authorization Form

Dental Consent Form

Your pet’s dental care is easy with our streamlined consent form—a hassle-free solution for pets and their caring owners.

Dental Consent Form

Prior to your pet’s dental procedure, please fill out the form below. To ensure your pet gets the best care we can offer, please fill out the form completely. Please Note: All * fields are required.

Procedure Authorization

I hereby authorize the performance of the dental procedure listed above, including the placement of an IV catheter and pre-anesthetic bloodwork. I understand this procedure requires to be placed under anesthesia and that all procedures involving general anesthesia carry a very small risk of complications, including death. If becomes stressed during the blood draw or catheter placement, I authorize the Doctors to administer sedation to allow catheter placement and a blood draw prior to the procedure.

If any additional procedures are needed, the veterinarian will attempt to contact you at the number you provide below. If I cannot be reached at the number provided, I authorize the veterinarians to perform additional procedures they deem medically necessary for ’s well-being. I understand that added procedures will be an additional expense. I assume financial responsibility for all services rendered and agree that payment is due on the date of the procedure.

Microchip

Every two seconds, a family pet is lost. Many are never reunited with their families because they cannot be identified. Because of these statistics, we suggest microchips whenever a pet is sedated. HomeAgain chips are known nationwide and have a 24-hour hotline to match chip numbers with the owner’s contact information.

Section II: Parasite Control

CPR/DNR statement

Clear Signature