I consent to the procedures, services, and notifications listed below to be performed on all animals identified in this form.
I authorize the use of anesthesia and other medication as deemed necessary by the veterinarian(s) and understand that additional personnel will be employed in the procedure(s) and or services, as directed by the veterinarian(s).
I have had the nature and extent of the procedures and services explained to me, having had any questions answered to my satisfaction and understanding. I understand that this procedure will result in the permanent sterilization of my animal(s). I understand the nature of these procedures and the risks involved. I understand that there is always a risk associated with any anesthesia procedure, including death of my animal(s), regardless of the animal’s state of health.
I understand that it may become necessary to provide additional medical and/or surgical procedures which are not anticipated for the safety or care for the animals(s). Should such circumstances present themselves, I consent to the performance of such altered and/or additional medical procedures as are necessary in the veterinarian’s professional judgment. I assume all responsibility for the medical decisions made by program staff for this animal (these animals), including additional surgical procedures, emergency medical authorizations and end of life decisions. In the event additional procedures and or services are, in the sole judgment of program staff, required, a timely attempt to inform me of any alternative choices for the animal will be made. Should program staff be unable to reach me for any reason, I defer and consent to the staff’s judgment, accepting any and all consequences and forfeiting any and all associated claims.
By signing below I understand the above and consent to the animal(s) sterilization and receiving other services such as a vaccination and microchip.
