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Consent to Treatment
Name
Email
Please select ALL that apply to acknowledge that you understand and authorize the terms below.
Pre-anesthetic bloodwork is required, not optional, for any animal to ensure the use of the safest anesthetic possible. This will test for anemia, kidney or liver disease, and dehydration which could alter my pet's response to anesthesia.
Yes
No
N/A
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 is initiated. Should unexpected life-saving emergency care be required and the attending veterinarian is unable to reach me, the hospital staff has my permission to provide such treatment, and I agree to pay for such care.
Yes
No
N/A
I consent to the examination of my pet by staff veterinarians at Saguaro Veterinary Clinic. I also agree that after my consultation with the doctor and/or staff, the hospital's doctors may prescribe medication for, treat, hospitalize, sedate, anesthetize, and/or perform surgery on my pet, and that I am financially responsible for all charges due. I agree that either I, or an authorized agent of mine, will pay for all accrued charges at or before the time that services are rendered.
Yes
No
N/A
I understand that veterinary care and the continuous presence of hospital staff and/or the veterinarian(s) during nighttime hours and/or weekends is not provided. Therefore, my animal left in the hospital for medical or surgical treatment during the hours of operation intentionally and/or unintentionally after hours will not be in the continuous presence of care. Normal hours of operation are Monday through Friday 7:00 a.m. to 5:00 p.m.
Yes
No
N/A
I certify that I am eighteen years of age or over, and agree that either I, or an authorized agent of mine, will pick up my pet when he/she is ready to be released from the hospital. I acknowledge the hours of operation at Saguaro Veterinary Clinic and agree that if I fail to comply with this policy, the hospital may consider this action as abandonment and will handle the abandonment in a manner that is in the best interests of my pet and the hospital.
Yes
No
N/A
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