• Sandhills Animal Hospital Consent

    Medical Procedure Consent Form
  •  -  -
    Pick a Date
  • As the owner or agent of the owner to the above animal, I hereby give my consent to Sandhills Animal Hospital to perform the following procedures:

  • I understand that during the performance of these procedure (s), unforeseen conditions may be revealed that necessitate an extension or variance in the procedure (s) set forth above.  I expect Sandhills Animal Hospital to use reasonable care and judgement in performing the procedures (s).  The nature of the procedure (s) and risks involved have been explained to me and I realize results cannont be guaranteed.  I am also aware that unforeseen events resulting form the procedure (s) will not relieve me from any obligaiont to all reasonable costs incurred regarding the animal.

    ALL ANIMALS ADMITTED MUST BE CURRENT ON THEIR VACCINATIONS (MINIMUM RABIES AND PARVO) AND FREE OF EXTERNAL PARASITE (FLEAS AND TICKS).  BOOSTER VACCINES WILL BE ADMINISTERED TO NON-VACCINATED PETS AT THE OWNER'S EXPENSE.  aNY ANIMAL FOUND TO HAVE FLEAS OR TICKS WILL BE TREATED AT THE OWNER'S EXPENSE.

  • Clear
  •  -
  • Should be Empty:
Jotform Logo
Now create your own Jotform - It's free! Create your own Jotform