Surgical/Anesthetic Consent Form

Save time ahead of your pet’s procedure! Complete your required consent form online before your visit.

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Surgical/Anesthetic Consent Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Patient Status

For Mass Removals

Surgical/Anesthetic Consent Statement: I verify that I am the owner, or authorized agent of the owner, of the pet listed above. I authorize anesthesia and surgery for my pet, as described above. The nature and risks of this procedure have been explained to me. I understand that some risks always exist with anesthesia and surgery, including death. Additionally, I authorize Pet Stat Animal Urgent Care to perform any intervention deemed necessary for any unforeseen medical or surgical complications that may arise, and I accept full responsibility for any associated fees. If overnight hospitalization is recommended, I understand that no staff will be on the premises after hours to attend to my pet, and that I have the option to be referred to a 24-hour facility for overnight care. I have read and understood the authorization and consent details above.

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