Surgery Release Form

I hereby authorize and direct the veterinarians of Pet Medical Center to perform the procedures and additional diagnostic and/or treatment procedures as deemed advisable for my pet. The nature of the procedure(s) has/have been explained to me and no guarantee has been made as to the results or cure. I understand that there may be risks involved in some of these procedures.

I agree to pay, in full, for services rendered, including those deemed necessary for medical or surgical complications or unforeseen circumstances. Any estimates or charges for the planned procedures are only approximations, and the final bill may be greater or less than these amounts. All Services Must Be Paid For When My Pet Is Released. Some Procedures Require A Deposit Be Made Before Surgery.

We recommend that pre-anesthetic blood tests be performed prior to the administration of anesthesia. These tests can help us detect anemia, dehydration, diabetes, kidney disease and liver disease. All these conditions can contribute to complications in anesthesia and surgery.

I understand and agree to the above terms and acknowledge that blood work may be done or fluids may be administered, depending on my pet’s age and risk factors.