Sedation/Pre-Anesthetic Consent Form

  • I hereby certify that I am the owner or owner's representative of the pet or am responsible for him. I certify that I am over the age of 18 and have permission to act as the representative.

  • I accept that every precaution is taken to ensure the safety of my pet. I have been advised on the nature of the treatment that will be performed and I realize the results cannot be guaranteed. I understand that chemical sedation/anesthesia and surgery always carry some element of risk and that by signing this, I share in assuming those risks.

    My doctor has talked with me regarding these risks and my questions have been answered to my satisfaction. I understand that Veterinary Specialty Center and its doctors cannot predict complications. I understand that complications can include unexpected death, and this can happen at any time, including before, during or after the anesthetic procedure. I understand that every safety measure will be taken to assure the most positive outcome possible.