I am the owner or the authorized agent for the owner of the animal described above, and I have the authority to execute this consent. My signature below certifies that I am over eighteen years of age.
I have been informed that there are certain risks and complications associated with sedation, anesthesia, as with any veterinary procedure and that the risks/complications have been explained to me. I further understand that during the course of the sedation-related procedure, or veterinary treatments, unforeseen conditions may arise that may necessitate the performance of additional procedures deemed necessary by the veterinarian. I am encouraged to discuss any concerns I have about these risks with the attending veterinarian before the procedure is initiated.
I have read and understand this authorization and hereby accept and agree to the terms of the consent for treatment. I authorize the use of appropriate sedatives, anesthesia and/or pain relief medication as needed before, during or after the procedure. I have been informed that there are risks associated with the use of any medication.
My signature below FUTHER VERIFIES that my pet has NOT/will NOT eat any food after 9pm the night before my pet's sedation related procedure, and will only take in clear liquids by mouth. I understand that failure to comply with this instruction can result in serious harm or injury to my pet, their GI tract, and their airway when sedated or given anesthetic drugs.