I, the undersigned, do hereby certify that I am the owner or duly authorized agent for the owner of the animal described above. I, the undersigned, am responsible for the care and financial responsibility of the pet mentioned above and that I do hereby give Dr. Keith E Gudgel, or his agents, servants, and/or representatives' full and complete authority to perform the surgical procedure described above. Furthermore, if any unforeseen condition arises calling in his/her judgment for procedures to be performed on my pet in addition to or different from those now authorized in order to save my pet's life or prevent a life-threatening situation on my pet, I further request and authorize him/her and his/her assistants to perform whatever procedures deemed advisable to help my pet. I acknowledge that no guarantee or assurance has been made to me as to the results that may be obtained. I consent to the administration of anesthesia, pre-anesthetic agents, antibiotic, fluids, pain relieving medications or any other drug deemed necessary in the medical interest of my pet's life. Our Standard Pre-Operative blood test is required for all surgeries, with the exception of Feline neuters.

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LABORATORY TESTING: It is in the best interest of a pet undergoing anesthesia and a surgical procedure(s) to perform preoperative blood testing to screen for certain pre-existing conditions which might endanger the pet's life. The standard screening gives the veterinarian a basic blood profile that highlights the main areas of concem in the body.

PAIN MANAGEMENT: Animals receiving pain control are more comfortable after surgery and relieving pain aids in the healing process.

IV CATHETER/FLUID THERAPY: Intravenous fluids help regulate blood pressure and administer medication in an emergency situation.

I do hereby and by the presents forever release the said doctor(s), his agents, servants or representatives from and any and all liability arising from said surgery on said animal.