Authorization Forms

Procedure Authorization

I hereby authorize performance of the dental procedure listed above, including 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 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.

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 hot-line to match chip numbers with owner’s contact information.

Surgery Authorization

I hereby authorize performance of the above surgical procedure, including placement of an IV catheter and pre-anesthetic bloodwork. The nature of this procedure has been explained to my satisfaction and I realize that no guarantee or warranty can be made regarding the results or cure, and that all procedures involving general anesthesia carry a small risk of complications including death. If your animal becomes stressed during the blood draw or catheter placement I authorize the Doctors to administer sedation, at no additional cost, to allow catheter placement and a blood draw prior to the procedure. I understand that I assume financial responsibility for all services rendered and that payment is due on the date of surgery.

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 hot-line to match chip numbers with owner’s contact information.