• Surgery and Anesthetic Procedure Consent Form


  • Pre-Anesthetic Examination and Testing

    Our greatest concern is the well being of your pet.  Before placing your pet under ansthesia, it is important to take steps to identify any existing medical conditions that could complicate the procedure and compromise the health of your pet

    • Physical Exam:  Before placing your pet under anesthesia, a veterinarian will perform a complete physical examination.
    • Blood Profile:  In addition to the physical exam, we perform a pre-anesthetic blood profile on all pets 7 years of age and older .  For younger pets, this blood profile is strongly recommended, but not required.
    • Additional tests:  Veterinarians may suggest additional testing for patients over 7 years of age or with underlying disease.
  • Procedure Consent:

    I, the undersigned owner, or the owner's agent, of the pet named above certify that I am over 18 years of age and hereby authorize the veterinarian(s) at Hopewell Veterinary Hospital to perform the above anesthetic and/or surgical procedure(s).  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 veterinarian. I understand that a medical condition may exist which would be impossible to identify during pre-anesthetic testing. I understand that my pet's health could be at risk if such a condition goes undetected when my pet undergoes anesthesia.  The anesthesia and/or procedure(s) will be done to the best of the abilities of the staff of Hopewell Veterinary Hospital.  I understand that should some unexpected life-saving emergency care be required and the hospital staff be unable to reach me, Hopewell Veterinary Hospital has my permission to provide such treatment and I agree to pay for such service. I have read and I fully understand the terms and conditions set forth above.

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