CommentsThis field is for validation purposes and should be left unchanged.Owner's Name*Pet's Name*I hereby authorize and direct the veterinarians of Vet for Pet Animal Clinic to perform the procedures and additional diagnostic and/or treatment procedures as deemed advisable for my pet. The nature of the procedure(s) has/have been explained to me and no guarantee has been made as to the results or cure. I understand that there may be risks involved in some of these proceduresNoAll Services Must Be Paid For When Is Released. All Procedures Require Payment To Be Made Before Surgery. I agree to pay, in full, for services rendered, including those deemed necessary for medical or surgical complications or unforeseen circumstances. Any estimates or charges for the planned procedures are only approximations, and the final bill may be greater or less than these amounts We recommend that pre-anesthetic blood tests be performed prior to the administration of anesthesia. These tests can help us detect anemia, dehydration, diabetes, kidney disease and liver disease. All these conditions can contribute to complications in anesthesia and surgeryI understand and would like my pet to have blood work as an added method of safety and accept the additional cost:* Accept Decline I also understand that x-rays are recommended prior to surgery as well as an additional cost and I would like to:* Accept Decline Urinalysis* Accept Decline Release Date* MM slash DD slash YYYY Phone number(s) where you can be reached* I understand and agree to the above terms and acknowledge that blood work may be done or fluids may be administered, depending up my pet’s age and risk factors. No
