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Sedation & Anesthesia Form


Sedation & Anesthesia Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please call us at 636-938-3239 for a faster response.

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.

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