I am the owner (or authorized agent) of this animal, authorize and request surgical procedure for him/her. I understand and accept that there are always inherent risks, including death, with any anesthetic procedure. I authorize the clinic staff in an emergency situation to follow through with such procedures as are necessary for the wellbeing of this animal on a continuing basis until further communication with me is possible. I understand that there is additional charge for obesity, inheat animals, lactating animals, pregnant animals, and some dental extractions. I understand that a member of the Parker’s Paws staff will contact me when these charges incur but will not stop the procedure if direct communication is not achieved. I understand payment is due when this animal is discharged. I accept financial responsibility for charges incurred
I understand that Parker’s Paws is a flea free facility and that I will be charged for flea medication anda dose will be applied if evidence of fleas is found on this animal.