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Surgery Consent Form

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The Pet Hospital of Tierrasanta - Surgery Consent Form
Surgery Consent Form

Client Information

Patient Information

I, the undersigned owner or agent of the owner of the pet identified above, certify that I am eighteen years of age or over and authorize the veterinarian(s) at The Pet Hospital of Tierrasanta to perform the above procedures(s). I understand that some risks always exist with anesthesia and/or surgery, including allergic reactions, heart problems and death. I am encouraged to discuss any concerns I have about those risks with the attending veterinarian before the procedure(s) is/are initiated. My signature on this form indicates that any questions I have regarding the following issues have been answered to my satisfaction:

  • The reasonable medical and/or surgical treatment options for my pet
  • Sufficient details of the procedures to understand what will be performed
  • How fully my pet will recover and how long it will take
  • The most common and serious complications
  • The length and type of follow-up care and home restraint required
  • The estimate of the fees for all services
  • Any necessary payment arrangements.
Please list the percentage of the estimated fees you agree to pay as a deposit.
Clear Signature