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Surgical & Anesthetic Consent Form

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Surgical & Anesthetic Consent Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please call us at 248-478-5400 for a faster response.

I, the undersigned owner or agent of the pet identified above, certify that I am eighteen years of age or over and authorize the veterinarian(s) at Advanced Veterinary Medical Center to perform the above procedure(s). I understand that some risks always exist with anesthesia and/or surgery. 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 arrangments