I hereby consent to the hospitalization of the above-named animal and authorize the doctor and staff to administer any medication, tests, or surgical procedures that the doctor deems advisable for the health, safety, or well-being of my pet. I also authorize the use of such anesthetics as you deem advisable in the performance of such surgical, diagnostic or therapeutic procedures. I realize that the administration of any anesthetic agent carries a small but real possibility of side effects which include death. I recognize the nature of the procedure(s) being performed and realize that there are certain risks and complications, which have been explained to me.
I understand that at night there may be times when there will not be anyone here with my pet.
I acknowledge that no guarantee or assurance has been made as to the results that may be obtained.
I agree to indemnify and hold Animal Medical Clinic and its doctors and employees harmless from and against any and all liability arising out of the performance of any of the procedures referred to above.