veterinary surgery consent form template

veterinary surgery consent form template is a veterinary surgery consent form sample that gives infomration on veterinary surgery consent form design and format. when designing veterinary surgery consent form example, it is important to consider veterinary surgery consent form template style, design, color and theme. if you have any questions, do not hesitate to give us a call at 610-793-2589. please note: all * fields are required. i understand that some risks always exist with anesthesia/sedation 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.i give my permission for anesthesia/sedation and/or surgery. if unable to contact me, the staff may or may not have my permission to proceed with life-sustaining procedures.i give permission to perform cpr on my pet. *i do.i do not.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. a complete physical exam will be performed on your pet prior to the surgical procedure. for this reason, your pet will have a pre-anesthetic blood panel to evaluate major organ functions prior to anesthesia.

veterinary surgery consent form overview

i understand that some risks always exist with anesthesia/sedation 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. i understand that the attending veterinarian will make every effort to contact me regarding treatment in the case of unforeseen emergencies. 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. a complete physical exam will be performed on your pet prior to the surgical procedure. for this reason, your pet will have a pre-anesthetic blood panel to evaluate major organ functions prior to anesthesia. complete the form below, and a member of our team will be in touch with you shortly.if you’re in need of immediate assistance, please contact us at 610-793-2589.

if this is an emergency, or if your pet needs urgent care, please call us at 770-565-7175 for a faster response. *textcallphone number at which you can be reached on the day of surgery: *anesthetic and surgical procedure(s) to be performed: *i understand that if my pet is over 8 years old and is not up to date on blood work in the past 6 months, it will be performed prior to the surgical procedure. *i have read and agree.if your pet is under 8 years old, would you like preoperative bloodwork to check for underlying conditions that could interfere with anesthesia? *yesnomy pet is not having a dental procedure.i, the undersigned owner or agent of the pet identified above, authorize the staff of providence veterinary clinic to perform the above procedure(s). *yesnowill your pet receive any medications the morning of surgery?

veterinary surgery consent form format

a veterinary surgery consent form sample is a type of document that creates a copy of itself when you open it. The doc or excel template has all of the design and format of the veterinary surgery consent form sample, such as logos and tables, but you can modify content without altering the original style. When designing veterinary surgery consent form form, you may add related information such as

when designing veterinary surgery consent form example, it is important to consider related questions or ideas, how do you write a consent form for surgery? what type of consent is needed for surgery? who completes a surgical consent form? how do you write high risk consent for surgery?,

when designing the veterinary surgery consent form document, it is also essential to consider the different formats such as Word, pdf, Excel, ppt, doc etc, you may also add related information such as

veterinary surgery consent form guide

i am encouraged to discuss any concerns i have about those risks with the attending veterinarian before the procedure(s) is/are initiated. *i have read and agree.i am over 18 years of age and understand that the attending veterinarian will make every effort to contact me regarding treatment in the case of unforeseen emergencies. *yes, i give my permission.no, i do not give my permission.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. i have been provided an estimated cost for the procedure(s) listed above. i assume financial responsibility for the recommended services and will provide payment in full at the time my pet is welbornarged from the hospital.