• 7732 MacArthur Boulevard Shanthi Ramachandran, VMD, MS
    Cabin John, MD 20818 Apryl Reidelbach, DVM
    phone: 301.229.2400 Alice Sartain, DVM
    Fax: 301.229.2708  
    Email: info@vetalpine.com  

     

  • Your name: * Your pet's name: *
    The best number to contact you at today:      *   

  • In certain urgent care situations we may need to recommend care available at a 24 hour or referral hospital.



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  • Sedated Procedure Consent

    I am the owner or the agent for the owner of the animal described above, and I have the authority to execute this consent. I have been informed that there are certain risks and complications associated with any operation or procedure of this type. I further understand that during the course of the operations or procedures, unforeseen conditions may arise that may necessitate the performance of additional procedures. I authorize the use of appropriate anesthesia and pain relief medication as needed before or after the procedure. I have been informed that there are risks associated with the use of any medication.
  • Medical Release

    I am the owner or the agent for the owner of the animal described above, and I have the authority to execute this consent. By signing below, I acknowledge that I have read and completed this form and I authorize Alpine Veterinary Hospital to perform the services indicated. I acknowledge that full payment is due upon discharge.
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