Town & Country Veterinary Hospital CPR/DNR Release Form
In the case your pet were to suffer cardiac and/or pulmonary arrest (heart or breathing stops) while in our facility, do you authorize us to provide life saving measures (i.e. cardiopulmonary resuscitation(CPR), intubation, and/or necessary drug administration, etc.) Costs of these services may range between $200.00-$500.00 and are not reflected in the estimate that is given at time of services. If you choose to allow these procedures to be performed for your pet, you will be contacted as soon as possible to be informed of your pets status and advised of the recommended course of action that is needed to be taken moving forward.
Please select from the options below:
Yes, I do consent to CPR and other life saving measures to be taken while my pet is in the care of Dr. Mardis and other veterinary staff.
No, I do not wish for my pet to have life saving measures taken in an emergency and I am enacting a Do Not Resuscitate Order.
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