Spay & Neuter Consent Form

This form is for the purpose of authorizing our hospital to perform a spay/neuter procedure on my pet. By signing this form, I certify that I understand further complications can occur during these procedures and authorize the hospital to administer additional treatments if such complications were to occur.

Client Consent For Anesthesia, Surgical, and Treatment Release

I am the owner of the above named animal, and hereby authorize the treatments discussed with the hospital; I also authorize the use of anesthetic agent as are deemed necessary to perform the above procedures(s).

I acknowledge and understand that as a result of the performance of the procedure(s) described above, there is a material risk that the patient may suffer from complications including but not limited to infection, allergic reaction, blood loss, loss of function of limb or organ, paralysis or paresis, weakness, tissue scarring, brain damage, cardiac or respiratory arrest, or death.

I also authorize the administration of such additional treatments and surgical procedures that are considered therapeutically and diagnostically necessary on the basis of findings during the course of evaluation and/or treatment.

I assume financial responsibility for all charges incurred on behalf of the patient.

By signing below, I acknowledge I have read or have had explained to me and understand this form, and I voluntarily consent to the performance of the procedure(s) described or otherwise referred to herein.

Any female patients who are in heat, pregnant, or have recently had pups may incur additional charges.

If external parasites (fleas/ticks) are present upon admission to the hospital, appropriate treatment will be administered at the owner’s expense.

I HAVE BEEN INFORMED OF THE IMPORTANCE OF PRE-ANESTHETIC TESTS AND UNDERSTAND THE POTENTIAL RISKS.