• Authorization and Risk Assessment

    I authorize anesthesia/surgery/treatment for {Type Pet's Name Above}. The nature and risks of the procedures(s) have been explained to me. I understand that some risks always exist with anesthesia, surgery and/or certain treatments, and I am encouraged to discuss any concerns I have about those risks with my veterinarian before the procedures(s) are initiated. My signature on this consent form indicates that any questions have been answered to my satisfaction.

    I authorize Hunt Valley Animal Hospital to perform any additional diagnostic, treatment or surgical procedure(s) deemed necessary for medical or surgical complications or otherwise unforeseen circumstances. While Hunt Valley Animal Hospital provides the highest quality of anesthesia monitoring and surgical services, I understand that there are rare complications associated with any anesthetic or surgical procedures(s). Hunt Valley Animal Hospital does not provide overnight supervision.

    I fully understand these risks and understand that the veterinarians and hospital staff will try to minimize such risks. I will not hold Hunt Valley Animal Hospital, the veterinarians, or any staff member liable for any complications that may arise.

    I have not given {Type Pet's Name Above} any food after 10pm on the night before the procedure, unless otherwise advised by my doctor. I understand that this is important for anesthesia safety.

  • Date Format: MM slash DD slash YYYY
  • Phone numbers where I may be reached today:
     We ask that you give us 24 hours’ notice of cancellation if you are unable to make your appointment, failure to do so will result in a cancellation fee of $45.  If you fail to show for your scheduled appointment with no notice given, you will incur a $45 fee.