Surgery or Sedation Authorization Form

I am the owner or agent for the owner of the animal described above, I am at least 18 years old, and I have authority to execute this consent.

I have been informed that there are certain risks and complications associated with any operation or procedure. I further understand that during the procedure, unforeseen conditions may arise and may necessitate the performance of additional services or procedures.

I realize that no guarantee or warranty can ethically or professionally be made regarding the results/outcome of the procedure. I also assume full financial responsibility for this animal and understand that payment is due in full at the time of service.

I HAVE READ THIS DISCLAIMER, UNDERSTAND WHAT IT SAYS, AND AGREE TO IT. I CERTIFY THAT I AM 18 YEARS OF AGE, AND I AM ASSUMING FULL FINANCIAL RESPONSIBILITY FOR THIS ANIMAL.