Consent for Treatment Form

I am the owner or the authorized agent for the owner of the animal described above, and I have the authority to execute this consent. My signature below certifies that I am over eighteen years of age. I have been informed that there are certain risks and complications associated with sedation, anesthesia, and/or any operation/procedure and that the risks/complications have been explained to me. I further understand that during the course of the operations or procedures, unforeseen conditions may arise that may necessitate the performance of additional procedures deemed necessary by the veterinarian. I am encouraged to discuss any concerns I have about these risks with the attending veterinarian before the procedure is initiated. I authorize the use of appropriate anesthesia and pain relief medication as needed before, during or after the procedure. I have been informed that there are risks associated with the use of any medication.

The nature of these operations or procedures has been explained to me and I understand what will be done. I am aware that the practice of veterinary medicine is not an exact science and, thus, there are no guarantees for successful treatment. I have been encouraged and given the opportunity to discuss any questions I may have regarding my pet’s medical care and my questions have been answered to my satisfaction. I accept that my financial obligations remain regardless of the outcome.

I agree to CPR being performed in case of arrest(Required)


I elect a “Do Not Resuscitate” status in case of arrest(Required)


Additional Procedures Offered











Please select the services you want performed on your pet

I have read and understand this authorization and hereby accept and agree to the terms of the consent for treatment.


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