I understand the nature and purpose of the procedures, risks involved, and possible complications that could arise. I understand there are no guarantees or assurances of the outcome of said procedures. I understand that while the anesthetic used in this hospital is one of the safest used in veterinary medicine. NO anesthesia is without medical risk. No guarantees can be made legally or ethically to me of any procedure performed. I release AEHV and its associates from liability if something were to go wrong. Should an emergency occur calling for procedures in addition to, or different from those stated above, that such procedures will be performed. I agree to pay full for all services rendered including those deemed necessary for medical and surgical complications or other unforeseen.
I have reviewed the above material and am comfortable with allowing my pet to stay for the procedure(s). I have had all my questions answered fully understand the procedures to be performed and the risks that may go along with them. I hereby state penalty of perjury that I authorize the associates of Animal Emergency Hospital of Volusia to perform the said procedure(s).