I am responsible for this pet and have authority to execute this consent. I authorize the administration of such treatment and surgical procedures as are considered therapeutically and diagnostically necessary on the basis of findings during the course of evaluation and/or treatment. I also authorize the use of anesthetic agents that are deemed necessary. This estimate may vary if special circumstances arise during hospitalization and/or surgery. 

I hereby authorize the performance of the procedures recommended. Possible complications may include, but are not limited to: anesthesia risk (inclusive of mortality), infection and complications necessitating further surgery or treatment.

I understand the prognosis and risks inherent in all medical and surgical procedures, and I assume financial responsibility for all charges incurred by this patient. I authorize the staff at this veterinary hospital to use photographs of my pet in print material and online.

I assume financial responsibility for the recommended services and will provide payment in full via cash, credit card or Care Credit at the time my pet is discharged from the hospital. We do not accept personal checks. A deposit of 100% of the low end of the the estimate is due at the time of admission with the rest of the balance due upon discharge.