Anesthesia/Sedation Consent Form

Owner Name(Required)
Please enter above
I hereby authorize Veterinary Cancer Care, P.C. to perform anesthesia/ sedation(Required)
I understand that there is always some risk involved with any use of sedatives or anesthetics. As protocol Veterinary Cancer Care requires a pre-surgical CBC to be performed prior to anesthesia. I fully understand that I assume all risks of anesthesia/sedation. Veterinary Cancer Care P.C. and staff will not be held liable for any problem arising from the use of anesthesia/sedation providing that all reasonable precautions have been taken to prevent injury or death to my pet. I give permission to proceed with anesthesia/sedation as deemed necessary for said the procedure(s) and I have been informed of and accept all risks.(Required)
In the event that my pet's status changes during the procedure, it may be necessary for further diagnostics or treatment. In the event of an emergency requiring CPR, if we are unable to contact you, advise us on how to proceed.(Required)
I have reviewed the above material and fully understand the procedures to be performed and the risks that may go along with them. I hereby state under penalty of perjury that I am the owner/agent of this animal and do authorize the associates of Veterinary Cancer Care, P.C. to perform the above said procedure(s). Payment is due at the time services are rendered, even those that require emergency action to take place.(Required)
Has your pet eaten today?(Required)
Has your pet had any medications this morning?(Required)
Consent(Required)
Clear Signature
MM slash DD slash YYYY

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