• (Type Pet Name)
  • REQUIRED FOR PETS OVER 7 YEARS OF AGE

    OPTIONAL FOR PETS UNDER 7 YEARS OF AGE BUT STILL RECOMMENDED:
  • OPTIONS AVAILABLE:

  • I have read all the above information and I understand and accept all the risk and responsibility involved. I also understand that unforeseen complications may occur which may incur additional charges.
  • DON’T WASTE THE ANESTHESIA!

  • Your pet is going under anesthesia and this means that there are a variety of things that can be done that may not be able to be done while awake. This procedure is much safer then in years past but why not make the most of this event. General anesthesia is not inexpensive (although a bargain compared to the humans) and sometimes multiple procedures can be performed at the same time. Yes there is an extra charge but sometimes at considerable savings from “stand alone” procedures. Please initial any and all of the following procedures you would like performed while pet is under anesthesia.
  • Initial if wanted
  • Initial if wanted
  • Initial if wanted
  • Initial if wanted
  • Initial if wanted
  • Don’t be afraid of anesthesia, but don’t waste it either!
  • MM slash DD slash YYYY