This form is for scheduled patients.Thanks for taking the time to fill this out!
(Trying to request an appointment? click here)
Next, we'll ask you a few questions about your pet.
I understand that Cornerstone Animal Hospital will discuss my pet’s treatment plan prior to any sedation or anesthesia, if warranted. Some risks always exist with sedation, and I am encouraged to discuss any concerns I have about those risks with the attending veterinarian before any procedures are initiated. While I accept that all services will be provided 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.
The attending veterinarian will make every effort to contact me regarding treatment of my pet in the event of any unforeseen emergencies. If Cornerstone Animal Hospital is unable to contact myself or the assigned agent, I consent to life sustaining procedures unless otherwise requested and accept all associated charges.
I accept full responsibility for any additional expenses that may be incurred for continued treatment, such as follow up radiographs, re-check physical exams and additional procedures due to complications. It is important to note that these are more likely to occur when there is a failure to comply with the recommended instructions.