I, the undersigned owner (or agent for the owner) of the pet identified above, certify that I AM eighteen years of age or over and I authorize the veterinarians at the Pet Doctors of Sherman Oaks to perform the above procedure(s). I understand that some risks, up to and including death, always exist with anesthesia and/or surgery. I have been 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 treatment options for my pet.
- Sufficient details of the procedures to understand what will be performed.
- How fully my pet is expected to recover and how long it may take.
- The most common and serious complications.
- The estimate of fees for all services.
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 agree to pay a deposit of 75% of the estimated fees, and I assume financial responsibility for the remaining fees, and will provide payment via cash or credit card at the time my pet is discharged from the hospital. Should unexpected life-saving emergency care be required and the hospital staff is unable to reach me, the staff: