Surgery Authorization Form

I hereby authorize performance of the above surgical procedure, including placement of an IV catheter and pre-anesthetic bloodwork. The nature of this procedure has been explained to my satisfaction and I realize that no guarantee or warranty can be made regarding the results or cure, and that all procedures involving general anesthesia carry a very small risk of complications including death. If becomes stressed during the blood draw or catheter placement I authorize the Doctors to administer sedation, at no additional cost, to allow catheter placement and a blood draw prior to the procedure. I understand that I assume financial responsibility for all services rendered and that payment is due on the date of surgery.Pre-anesthetic bloodwork may be run up to one week in advance of a procedure, or at the Doctor’s discretion.

Every two seconds a family pet is lost. Many are never reunited with their families because they cannot be identified. Because of these statistics, we suggest microchips whenever a pet is sedated. HomeAgainchips are known nationwide and have a 24-hour hot-line to match chip numbers with owner’s contact information. The cost of microchip implantation is $61.50

If parasites are found, we will apply the appropriate topical treatment at the single-dose price.