Lahontan Valley Veterinary Clinic

3660 Schurz Highway Fallon, Nevada 89406 (775) 423-7528

I am the owner or agent for the owner of the above-described animal and have the authority to execute this consent. I hereby consent and authorize the performance of the following procedure(s) or operation(s): 

I understand that during the performance of the foregoing procedure(s) or operation(s), unforeseen conditions may be revealed that necessitate an extension of the foregoing procedure(s) or operation(s) or different procedure(s) or operation(s) than those set forth above. Therefore I hereby consent to and authorize the performance of such procedure(s) or operation(s) as are necessary and desirable in the exercise of the veterinarian's professional judgment. I also authorize the use of appropriate anesthetics and other medications and I understand that hospital support personnel will be employed as deemed necessary by the veterinarian. I have also been informed that there are risks associated with the use of any medication. I have been advised as to the nature of the procedure(s) or operation(s) and risks involved. I realize results cannot be guaranteed. As part of our normal surgical procedure a catheter will be placed and IV fluids will be given during surgery.

Pre-Anesthetic Blood Testing

Before putting your pet under anesthesia, a physical exam will be performed. As part of the pre-surgical examination, we offer a pre-anesthetic blood panel. These tests are similar to those your physician would run if you were to undergo anesthesia. These tests may be useful in diagnosing liver/kidney disease, diabetes, or other conditions that could complicate a surgical procedure. 

If your pet is scheduled for a dental cleaning, a licensed technician or veterinarian may perform the procedure. Extractions may be a necessary part of the dental procedure. If you mark yes for extraction a veterinarian will extract the necessary teeth. Diseased teeth can be a source for re-infection. 

Owner/Authorized Agent Consent

I have read and understand this authorization and consent and am aware that payment for today's services is required. I also understand that Lahontan Valley Veterinary Clinic is not staffed 24 hours a day and my pet will not have overnight medical supervision.