Anesthesia/Surgery Consent Form

I, the undersigned owner or agent of the pet identified above, certify that I am eighteen years of age or over and authorize the veterinarian(s) at Tri-County Animal Hospital to perform the above procedure(s). I understand that some risks always exist with anesthesia and/or surgery and that I am encouraged to discuss any concerns I have about those risks with the attending veterinarian before the procedure(s) is/are initiated. My signature on this form indicates that any questions I have regarding the procedures to be performed have been answered to my satisfaction.

While I accept that all procedures will be performed to the best of the abilities of the staff at this hospital, I understand that no guarantee or warranty has been made regarding the results that may be achieved. Should unexpected life-saving emergency care be required and the hospital staff is unable to reach me, the staff has my permission to provide such treatment and I agree to pay for such services.

All pets must be current on vaccinations upon admittance to the hospital. The required vaccines for dogs are Rabies and DHPP and for cats are Rabies and FVRCP. If you cannot show evidence of these vaccines they will be administered at an additional cost.

I assume financial responsibility for all services provided and will provide payment at the time my pet is discharged from the hospital.