Sedation & Anesthesia Form

I, the undersigned owner or agent of the pet identified above, authorize the staff of My Vet Animal Clinic to perform the above procedure(s).

I understand that some risks always exist with anesthesia 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. Dental procedures may warrant tooth extractions.

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.

I have read and fully understand the terms and conditions set forth above.