Furever Friends of Albany Spay and Neuter Clinic Release and Waiver of High Risk Surgery
FURever Friends of Albany (“FFASNC”) uses qualified staff and approved materials for all procedures performed. It is important for you to understand that the risk of injury or death, although extremely low, is always present. Please carefully read and understand all of the information in this agreement before acknowledging.
I, being lawfully authorized to make decisions on behalf of the pet named above (“my pet”), hereby request and authorize FFASNC to receive, transport, prescribe for, treat and/or administer vaccinations and/or perform an operation for the sexual sterilization of my pet.
I certify that my pet has not bitten anyone in the last ten (10) days.
I understand that the operation I have elected presents some hazards and risks to my pet which may result in post operative infections or death. I understand that general anesthesia will be administered to my pet for surgery. I understand and accept these risks for my pet.
I understand my pet will receive vaccinations today for rabies and FVRCP or DHPP if proof of current record is not provided. If this is my pet’s first time to receive vaccines, a booster in 2-4 weeks is strongly recommended.
I understand the inherent risks of failing to maintain current vaccinations and waive all claims arising out of, or connected with the performance of this operation due to such failure. I understand in particular, if my pet develops kennel cough, or other upper respiratory infection after surgery, I am responsible for treatment at my own cost.
I understand the FFASNC has the right to refuse any service and/or procedure to any point for any reason, including but not limited to situations where surgery is deemed a health risk. Such refusal is at the sole discretion of the attending veterinarian.
I understand that a pre-surgery exam will be performed on my pet when possible. But there are times, at the veterinarian’s sole discretion, when such an exam may be performed after my pet has already been sedated or anesthetized.
I understand that my pet will not receive pre operative bloodwork. If I choose for my pet to have such bloodwork, I understand that it must be performed at a full service veterinary clinic.
I understand that some factors significantly increase surgical risk, including but not limited to, pregnancy, heat and diseases such as feline immunodeficiency virus (FIV), feline leukemia virus (FeLV), heartworms, medical conditions or illnesses such as respiratory infection, GI concerns, infections. Physical exam finding (heart murmur, fever, poor condition). Age (over 7 years in general). Late term pregnancy, recent post-partum. Feral Feline or aggressive pet- Your pet may not receive a pre operative exam.
Other: Purebred cats with pre dispositions for cardiac disease (Ragdolls, Maine Coons and Sphynxes). Brachycephalic dog breeds and their mixes (English Bulldogs, French Bulldogs, Boxers, Shih Tzus, Pugs).
IT IS THE RECOMMENDATION OF FFASNC THAT YOUR ANIMAL RECEIVES A DIAGNOSTIC WORK UP AND MEDICAL EVALUATION/CARE PRIOR TO UNDERGOING SURGERY. DIAGNOSTIC WORK UP MAY INCLUDE: PHYSICAL EXAM, ULTRASOUND, ECG, RADIOGRAPHS AND/OR BLOODWORK.
I understand if my pet is an acceptable surgical candidate/vaccination candidate, sterilization procedures and or vaccinations will be performed regardless of my pet’s gender and or medical condition, including but not limited to pregnancy. I understand if my pet is pregnant, the pregnancy will be terminated at surgery.
If any unforeseen event/emergency situation occurs or a medical condition is discovered, that requires urgent immediate medical treatment, I consent that the attending veterinarian may perform such treatment, or transport my pet to another veterinarian for the provision of such treatment at my expense, without seeking additional consent.