Anesthesia Form

General anesthetic and surgical procedure(s) to be performed:

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I, the owner of the pet identified above, authorize the veterinarian(s) at Pine Castle Animal Hospital to perform the above procedure(s). I understand that the performance of the general anesthesia and surgery on my pet are not without serious risks. These risks include, but not limited to: infection, complications in healing, closure separation and loss of life. I understand I am encouraged to discuss any concerns I have about those risks with the attending doctor before the procedure(s) is/are initiated.

While I accept that all procedures will be performed to the best of the abilities of the staff at this facility, I certify that no guarantee or warranty has been made regarding the results that may be achieved. Should unexpected life-saving emergency care be required, the staff has my permission to provide such treatment and I agree to pay for such service.

To help minimize the possibilities that an underlying health problem exists and to minimize inherent risks, ALL pets are required to have pre-anesthetic Blood Profiles, prior to procedures being done.

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