General Anesthesia Consent

Phone Number (s) where I can be reached today:

{Video} What To Expect During Spay or Neuter Procedure (1:40): https://go.veteos.com/g5besa

{Video} What To Expect During Your Pet’s Surgery (1:43) : https://go.veteos.com/yvpk7i

I certify that I am the owner (or the agent for the owner) of the animal listed above and have the authority to execute the consent for anesthesia/sedation +/- oral surgery/ dental extractions I have been informed of the risk of anesthesia/sedation (i.e. reaction to the drugs being used, secondary complications due to known or unknown underlying health conditions, respiratory and/or cardiac arrest) and the procedure for which it is needed. I authorize the veterinarian(s) at Walton Way Veterinary Clinic to perform the above procedure(s). I understand that some risks always exist with anesthesia and/or surgery and that I am encouraged to discuss any concerns I have about those risks with the attending veterinarian before the procedure(s) is/are initiated. My signature on this form indicates that any questions I have regarding the following issues have been answered to my satisfaction:

• The reasonable medical and/or surgical treatment options for my pet
• Sufficient details of the procedures to understand what will be performed
• How fully my pet will recover and how long it will take
• The most common and serious complications
• The length and type of follow-up care and home restraint required
• The estimate of the fees for all services
• Any necessary payment arrangements

While I accept that all procedures will be performed to the best of the abilities of the staff at this hospital, I understand that no guarantee or warranty has been made regarding the results that may be achieved. I agree to assume financial responsibility for the fees associated with the procedure(s), and provide payment via cash or credit/debit card at the time my pet is discharged from the hospital. Depending on the type of surgery, I understand that an initial deposit may be required and pre-arranged financing options are available.

ALL ANIMALS ADMITTED MUST BE CURRENT ON THEIR ANNUAL PHYSICAL, VACCINATIONS, HEARTWORM TEST (DOGS)* & LEUKEMIA/FIV (CATS). ALL PETS MUST BE FREE OF EXTERNAL PARASITES (FLEAS & TICKS). ANYANIMAL FOUND TO HAVE PARASITES WILL BE TREATED AT THE EXPENSE OF THE OWNER PRIOR TO THE ABOVE PROCEDURE.