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Surgery and Anesthesia Consent Form

Surgery and Anesthesia Consent Form at Countryside Animal Hospital

Understand and acknowledge that the veterinarians at Countryside Animal Hospital will perform surgery and administer anesthesia as deemed necessary. I understand that some risks always exist with anesthesia and/or surgery, and I am encouraged to discuss any concerns I have about those risks with my veterinarian before the procedure(s) are initiated. My signature below is consent to the surgery and anesthesia administration.

Risks and Complications:
I am aware that surgery and anesthesia carry inherent risks, including but not limited to infection, adverse reactions to medications, bleeding, and the possibility of unforeseen complications.

Pre-Anesthetic Assessment:

Emergency Procedures:
I authorize the veterinarian to perform emergency procedures or administer additional treatments that may become necessary during the course of the surgery. I understand that efforts will be made to contact me in such situations, but if unreachable, I trust the veterinarian's judgment in the best interest of my pet.

Clear Signature