Authorization for Anesthetic Procedure – Spay/Neuter 2017-05-22T10:07:09+00:00

Authorization for Anesthetic Procedure – Spay/Neuter

  • (your pet may not be ready to go home by this time).
  • I, the undersigned owner or agent of the owner of the pet identified above, certify that I am of eighteen years of age or over and authorize the veterinarian(s) at this practice 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. My signature on this form indicates that any questions I have regarding the following issues have been answered to my satisfaction:
    • The reasonable medical and/or surgical treatment options for my pet
    • Sufficient details of the procedures to understand what will be performed
    • How fully my pet will recover and how long it will take
    • The most common and serious complications
    • The length and type of follow-up care and home restraint required
    • The estimate of the fees for all services
    • Any necessary payment arrangements
  • Authorization for Treatment Beyond Estimate

  • Authorization to Remove Deciduous Teeth

  • Microchipping

    Microchipping is the most permanent pet identification system available today. Often the best time to place a microchip is when the pet is under anesthesia, so the pet does not have to feel the pain of the larger than average needle.


  • I have read and understand the nature of the above procedures and give my consent to proceed.