I, the undersigned, certify that I am the owner, or authorized agent for the owner, of the pet described above and I have the authority to execute this consent. I authorize the doctor and assistants to perform the procedures listed above, including administration of pain relief medications, sedatives, and/or anesthetics, as well as any necessary medical, radiological, surgical, nursing, diagnostic, and/or emergency care for the pet. I have been advised as to the nature of the procedure and the potential risks. I also understand that no guarantee of succesful treatment can be made. I understand the reasons for and the risks of the above procedure(s), and assume full financial responsibility. I have been informed that Cheyenne West Animal Hospital is not staffed 24 hours a day. I understand that if my pet requires overnight supervision post-surgically, my pet will be referred to the appropriate emergency hospital.