Anesthetic Consent Form

"*" indicates required fields

Owner's Name*
Anesthetic Consent Form for*
Vaccination Status*
Is the pet fasted?*
Additional Services available while you pet is sedated:*
**NOTE: I understand that if I am not available when I am called for authorization no extraction will be performed. I further acknowledge that this will mean my pet may have to be sedated again to have the extractions performed at an additional cost.
*
*
Advances in anesthesia have made routine procedures safer, with low incidence of complications; however, occasional problems can occur due to pre-existing conditions not evident during routine histories and physical examinations.*
In the event of an emergency I would like BFAH to:*
*
(Please type your full name)

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