I, the undersigned owner or agent of the pet identified above, authorize the staff of East Paulding Animal Hospital 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.
In order to offer the best medical care possible, we are offering a pre-anesthetic blood screen for your pet undergoing an anesthetic procedure. ANESTHESIA CARRIES SOME RISK (even though it may be small.) This blood screen will evaluate your pet’s liver and kidneys. These organs remove the anesthetic chemicals from the body. This blood screen will allow us to take the necessary precautions if any abnormalities are detected.
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 also assume full responsibility for any additional expenses incurred after the surgical procedure is performed, such as
follow up radiographs, re-check physical exams and additional surgery due to post-op complications. These are more likely to
occur when there is a failure to comply with the aftercare instructions.
I have read and fully understand the terms and conditions set forth above.
3041 Charles Hardy Parkway,Dallas, GA 30157
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