Valley Animal Clinic

As Owner/ Authorized Agent of the pet described above, I hereby authorize Valley Animal Clinic to perform the following procedure(s) under general anesthesia. I certify that my pet has not eaten in the last 12 hours as recommended. I give full consent to have the veterinarians of Valley Animal Clinic perform the surgical procedure listed below.

Surgical/Anesthesia Information:

• All pets undergoing general anesthesia at Valley Animal Clinic are required to have pre-anesthetic blood testing to look at basic organ function and to tailor anesthetic medications used. This will also check for pre-existing medical conditions, which may increase the risk of complications during surgery.
• An intravenous catheter will be placed to provide immediate access to your pet's circulatory system, this allows for rapid administration of drugs should an emergency situation arise.
• Your pet will also be administered intravenous fluids to help maintain normal blood pressure, protect vital organs, and maintain proper hydration.
• All pets undergoing surgery will receive pain injections while in the clinic. Post-operative pain management is a concern with virtually all surgical procedures. Most procedures merit at-home oral medication for several days after surgery and will be dispensed at the veterinarian's discretion.
• All patients positive for fleas will be treated in clinic day of the procedure and the owner is financially responsible for the cost of treatment.

The nature of the procedure and the potential risks have been explained to me and I understand the procedure(s) to be performed. I understand that some risks always exist with anesthesia and/or surgery, and I am encouraged to discuss any concerns I have about those risks with my veterinarian before the procedure(s) are initiated. My signature on this consent form indicates that any and all my questions have been answered to my satisfaction.

I understand that during these procedures great care is taken to ensure my pet's health, but unforeseeable conditions may occur that necessitate an extension or variance in the procedure(s) defined above. I authorize Valley Animal Clinic to perform any additional diagnostic, treatment or surgical procedure(s) deemed necessary for medical or surgical complications or any unforeseeable circumstances. I accept responsibility for any result in additional charges. While Valley Animal Clinic provides the highest quality of anesthesia monitoring and surgical services, I understand the risks and understand that the veterinarians and hospital team will do everything possible to minimize any risks. I will not hold Valley Animal Clinic, the veterinarians or any team member liable for any complications that may arise. No warranty or guarantee has been stated or implied to me as to the results or cure afforded by these treatments or procedures. I understand that I am assuming full financial responsibility for all services rendered at the time my pet is discharged from the hospital.