I am the owner/agent for the pet receiving the surgery/procedure, and I authorize and request the services selected and discussed above. I have indicated any additional services I would like performed above. 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 different procedure(s) than those set forth above. Therefore, I hereby consent to and authorize the performance of such procedure(s) as are necessary and desirable in the exercise of the veterinarian's professional judgment.
I also authorize the use of appropriate anesthetics; other medications and I understand that hospital support personnel will be employed as deemed necessary by the veterinarian. The nature of the procedure(s) has/have been explained to me and no guarantee has been made as to the results or cure. I understand that there may be risks involved in some of these procedures.
I agree to pay, in full, for services rendered, including those deemed necessary for medical or surgical complications or unforeseen circumstances. Any estimates or charges for the planned procedures are only approximations, and the final bill may be greater or less than these amounts. All services must be paid for in full when your pet(s) is released.
I authorize the extraction of damaged teeth and administration of any medications that may be necessary while my pet is undergoing the dental cleaning procedure (if applicable).
I have read and understand this authorization and consent and agree to all of its terms and conditions.