In the event of an unforseen emergency, we will attempt to reach you without delay. Please know that we take every precaution to ensure PET is safe and healthy enough to undergo PROCEDURE. Any known risks have been discussed with you. However, very rarely, medical emergencies do happen and we want to know your preference on how you would like for us to proceed. Please choose an option below.
I verify that I am the owner (or duly authorized agent for the owner) of the PET and authorize PROCEDURE to be performed by Westchase Veterinary Center. I authorize the use of anesthesia and other medications deemed necessary by the veterinarian and understand that hospital personnel will be employed in the procedure as directed by the veterinarian.
I have been advised as to the nature of this procedure to be performed and the risks involved. No guarantees have been made regarding the outcome or cure. I understand that there is always a risk associated with any anesthesia episode, even in apparently healthy animals, and have discussed my concerns with the veterinarian. The veterinarian has provided me the opportunity to ask questions and receive answers regarding the procedure. This risk includes bodily injury or death. I understand that it may be necessary to provide medical and/or surgical procedures which are not anticipated for the safety or care of PET. I hereby consent to and authorize the performace of such altered and/or additional procedures as are necessary in the veterinarian’s professional judgment. I accept responsibility for any result in additional charges.
I agree to be responsible for all charges incurred while PET is in the care of this facility and understand payment is due at the time my pet is released from the hospital. PET will receive pain medication prior to and after any procedure, treatment or surgery when pain or discomfort is anticipated or expected.
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