Surgical Consent Form

FOR ALL PROCEDURES:

Homeagain Microchip(Required)


If you select NO, please enter your initials to acknowledge.
Nail Trim(Required)


If you select NO, please enter your initials to acknowledge.
Ear Cleaning(Required)


If you select NO, please enter your initials to acknowledge.
Anal Glands(Required)


If you select NO, please enter your initials to acknowledge.
My pet is current on heartworm prevention and has not missed any doses(Required)


If you select NO, please enter your initials to acknowledge.

CONSENT

Reset signature Signature locked. Reset to sign again

FOR DENTAL PROCEDURES:

I want my pet to have any loose or infected teeth extracted while my pet is under anesthesia. I understand that extractions are an additional cost.

Call first before doing any extractions. If I cannot be reached, nothing will be done.

No, I do not want my pet to have any loose or infected teeth extracted while my pet is under anesthesia. I understand the risks if these teeth are not extracted.