Surgery Consent Form


Please complete the form below before your pet’s procedure.

Please read through this form carefully and fill it out to completion. If you have any questions, please call us!

If any unforeseen condition arises in the course of the above-stated operation, according to his/her best judgment, for procedures in addition to or different from those now contemplated, I further request the veterinarian responsible to do whatever is deemed appropriate and necessary including emergency procedures, pain medication, and management.


The nature and purpose of the operations, possible alternative methods of treatment, risks involved, and the possibility of complications have been fully explained to me. I acknowledge that no guarantee or assurance has been made as to the results that may be obtained and that I assume all risks.


All patients must have current vaccinations. This includes Bordetella, as well as a current "Heartworm Negative" status for all dogs.


For the safety of your pet, we will perform a comprehensive blood screen prior to the administration of sedatives and general anesthesia. The purpose of these tests is to verify the metabolic health of the patient and the ability of the kidneys and liver to safely eliminate the anesthetics from the body, assuring a safe recovery and successful procedure. If these tests indicate any abnormalities and/or suggest a risk to the patient, you will be notified before proceeding.