Consent for Anesthesia or Surgery

I understand that the anesthetic, surgical, or therapeutic procedures may involve the risk of complications, injury, or even death, from known and unknown causes, and no warranty or guarantee has either been expressed or implied as to the result or cure. Should my pet require cardiopulmonary resuscitation (CPR), including cardiac compressions, positive pressure respiration, emergency medications, or other heroic interventions, I request that the doctor(s) conduct/not conduct such medical care as indicated below. If I request such emergency procedures, I agree to be held responsible for veterinary services provided to my pet while staff members pursue treatment and try to reach me for further directions. Regardless of my pet’s recovery or survival, I agree to pay CPR fees of $150 per 15 minutes, in addition to other fees already identified by the practice and agreed upon by me.

Declaration

I am the owner of the above-mentioned animal. I have had the reasons for surgery and/or anesthesia explained to me and I am satisfied with the plan of management for my pet’s condition. I have also had the likely fees explained to me and accept responsibility for payment of these fees at the time of discharge. While my pet is at All Creatures Veterinary Care Center for treatment, I agree to indemnify All Creatures Veterinary Care Center, its servants or agents from any loss or liability which they may incur as a result of any inaccuracy whether intended or otherwise in this, my solemn declaration.