As owner (or agent for the owner) of the pet described above, I authorize Countryside Veterinary Hospital to perform any diagnostic, therapeutic, anesthetic, emergency, and surgical procedures necessary for treating and maintaining my pet’s health and well-being. While I expect all procedures to be performed to the best of the staffs’ abilities, I realize the hospital makes no guarantee or warranty regarding the results. If my animal should injure his/herself, escape, fail to eat, become ill, or die, I will not hold Countryside Veterinary Hospital and/or its employees responsible. I expect the hospital to use reasonable precautions to ensure my pet’s safety, and I agree to pay in full when the pet is discharged.
Post Operative Pain Medication and IV Fluids are Included with every Anesthetic Procedure.