Authorization for anesthesia, tattoo, and surgery/Hold Harmless:
I, the owner or authorized agent for the above pet, authorize the Veterinarian (DVM) and staff to provide medications, vaccinations, and to perform anesthesia and sterilization surgery (spay/castration) to prevent future reproduction. I understand my pet will be permanently tattooed for easy sterilization recognition. I understand for the purpose of today’s procedure, I am a client of DVM and that no pre-surgical tests are performed and that medical problems may arise as a result of conditions not identified by the examination. In the absence of negligence, I agree to hold harmless SCTW, SNIP BUS and the DVM if problems arise that may have been prevented had tests been performed. I understand risks exist with these procedures, that unforeseen conditions may arise, that no guarantee is made as to results, and that I should discuss any concerns that I have before surgery. I further understand that if my pet is brachycephalic, no additional treatments or protocols are taken, and my pet has a high risk under anesthesia and recovery that may result in death. I acknowledge that overweight and obese animals have a higher risk during surgery, including difficulty breathing, excessive bleeding and death. I certify to the best of my knowledge; my pet is in good health and not currently under DVM care. I have notified staff of any known allergies, medical concerns, or medications my pet has received in the last week. I certify all appropriate vaccinations are up to date for my pet or I have requested they be provided on procedure day. My pet is to be discharged same day. Prior to surgery, I will receive an outline of procedures to follow for at home care, as well as emergency information, since after hours care is not available at the SNIP Mobile Unit. I understand the above conditions.