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River Road - Anesthesia Consent Form
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    • Call
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    • Email
    • Any
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    • Dr. Courtney Wheeler
    • Dr. Ben Brignac
    • Dr. Jen Mains
    • Dr. Tiffany Hammant
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    ***Note: Please give all morning medications before drop-off unless otherwise instructed by doctor.
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    **Note: If you cannot be contacted, we WILL proceed with all extractions thought to be necessary at the veterinarian's discretion**
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    I, the undersigned owner or agent of the aforementioned pet, certify that I am at least eighteen years of age and authorize the veterinarian(s) at River Road Veterinary Hospital to perform the stated procedures. 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(s) before the procedures are initiated. 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 understand that any prices quoted for such procedures are for non-complicated operations and that any unforeseen complications may result in further cost. I assume financial responsibility for all charges incurred to patient, and I consent to the release of medical information for the said animal.

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