Surgery Consent

**Please immediately call the front office at 425-201-1908, if your pet has gone into heat within the past 2 months.



Attempt to Notify

Since your pet will be under anesthesia, it is imperative that we are able to contact you today during your pet’s procedure. If your pet is found to have teeth that are diseased to the point of needing advanced treatment such as extraction or antibiotic gel insertion, we will contact you to notify you of the findings and exact costs.  Please be aware that if we are unable to contact you after three attempts, and treatment is not authorized, you will be responsible for additional charges to repeat anesthesia at a later date in order to perform the necessary treatments. 


If we are unable to contact you at the numbers provided, do you authorize us to do the treatments that are necessary for the well-being of the patient as long as the treatments stay within your estimate range?:


In the event of an emergency, I understand that Loyal Family Veterinary Hospital will try to contact me as soon as possible. Please indicate below your wishes regarding CPR and other life-saving treatments (select one):


Pain control helps your pet through its recovery period, relieving pain and stress associated with the procedure. Your pet will receive a post-surgical injection for pain control, which lasts approximately 6-8 hours. Additional pain control will be administered at the Doctor’s discretion according to your pet’s individual needs. 


As with any procedure requiring general anesthesia, there are risks of serious complications or even death may result.


Please be aware that shaving a patch of fur is necessary for the safe placement of a sterile IV catheter. Fur must also be shaved for surgeries that require skin incisons.


A member of the team will contact you to go over discharge instructions and to set up a pick up time following your pet's procedure. Please note that late pick-ups after 6:00pm will be subject to an additional fee of $30 for every 10 minutes late. 


As the owner of the above pet, I certify that I am over the age of 18 and I authorize the staff of this hospital to perform the procedure(s) listed above. As with all anesthetic, treatment, and/or surgical procedures, I understand there are risks inherent in these services. I acknowledge that staff members at this practice have explained the procedures to me, answered questions to my satisfaction and cannot be held responsible for any unforeseeable results. Further, I understand that I am financially responsible for all costs incurred during this surgery, treatment and hospitalization. I hereby release the owner and employees of Loyal Family Veterinary Hospital from any and all legal liability related to procedures and services rendered.