Client Name *

First

Last

Patient Name *

Email *

I hereby understand that my pet will be undergoing anesthesia and surgery based on the recommendation of my vet. *

I understand

The recommended surgery is *

Anesthesia Risk Acceptance: *

I understand that anesthesia, like any medical procedure, carries inherent risks, including but not limited to complications such as allergic reactions, cardiac arrhythmias, respiratory issues, organ damage, and in rare cases, death. I acknowledge that these risks exist even with the best possible care and monitoring. I further acknowledge that any preoperative lab work, cardiac screening, imaging, or other diagnostics that are recommended by the veterinarian is to minimize risk of anesthesia and declining any diagnostics may increase risk of complications. I have discussed these risks with my veterinarian and have had the opportunity to ask questions. I hereby consent to the administration of anesthesia to my pet and accept the associated risks.

Surgery Risk Acceptance: *

I understand that surgery, like any medical procedure, carries inherent risks, including but not limited to complications such as bleeding, infection, and in rare cases, death. I acknowledge that these risks exist even with the best possible care and surgical technique. I have discussed these risks with my veterinarian and have had the opportunity to ask questions. I hereby consent to the performance of the surgical procedure on my pet and accept the associated risks, including specific risks listed below and those otherwise discussed directly with the veterinarian.

Post-Operative Care: *

I understand and acknowledge the post-operative care recommendations provided by my veterinarian for my pet. I agree to adhere to these recommendations to the best of my ability, including but not limited to:

Medication administration: I will administer all prescribed medications as directed, at the correct dosage and frequency, for the full duration of the treatment.
Activity restriction: I will restrict my pet's activity as advised, preventing running, jumping, and excessive play to allow for proper healing.
Incision care: I will monitor the incision site daily for any signs of infection or complications and keep it clean and dry as instructed.
Dietary management: I will follow the recommended dietary guidelines, including any changes to food type or feeding schedule.
Follow-up appointments: I will attend all scheduled follow-up appointments to ensure my pet's recovery is progressing as expected.

I understand that following these recommendations is crucial for my pet's successful recovery and well-being. I further understand that not following specific guidelines may cause harm to my pet and may possibly lead to complications with healing. I will contact my veterinarian immediately if I have any questions or concerns or if I notice any changes in my pet's condition.

Risks associated with specific medical

Procedures: *

Signature *

Clear Signature

Date *

Forms

Anesthesia/Surgery Release Form

Anesthesia/Surgery Release Form

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