Surgery Consent FormSave time during your next appointment. Complete your new client from any device at any time before your visit. Name * First Name Last Name Email * Pet's Name * Pet's Age / Date of Birth * Procedure your pet is receiving * Phone number at which owner can be reached * (###) ### #### Additional Number * (###) ### #### When was the last time pet was fed? * Anything else needed while pet is under anesthesia? * I am the owner (or authorized agent of the owner) of the animal described above, and have the authority to execute this consent. I understand that some risk always exists with anesthesia, even in apparently healthy animals, including the possibility of death. I have discussed my concerns with the veterinarian and understand that it may be necessary to provide additional medical or surgical treatment to my pet in the event of unforeseen circumstances. I realize that no guarantee, legal or ethical, can be made to me regarding the outcome of any procedure performed. I hereby authorize the use of anesthetics and other medications, as well as any such additional treatment, as deemed necessary by the veterinarian. I understand that hospital personnel will be employed in treating my pet. I have carefully read, and fully understand, this consent. I have read and understand Date MM DD YYYY Thank you!