General Surgery Consent

Surgical/Anesthetic Options: Please initial your choice for each option.

Laser Surgery: We have the ability to use a surgical laser rather than a scalpel blade for most routine procedures. This may decrease bleeding, swelling, and postoperative pain.

Therapeutic Laser Treatment: This treatment can be performed on your pet’s incision(s) postoperatively to reduce pain and aid in the healing process on a cellular level. (Not used on any growth removals)

Microchip Permanent Identification: A microchip is a means of permanent identification that is implanted under the skin. If your pet is lost, your pet may be reconnected with you via the use of a chip scanner (most veterinary clinics, shelters and rescue organizations have one of these scanners).

E-Collar (Cone to keep the patient from licking):

Sedative to go home

Consent for Anesthesia/Sedation and Surgery

I, the undersigned, am the owner or authorized agent of the pet listed below, and am at least 18 years of age. I elect to
have this pet undergo the anesthetic and surgical procedure listed below, and declare that I understand the procedure along
with associated benefits and risks (up to and including death) as outlined above, and I have had the opportunity to have my
questions regarding the procedure answered.

MM slash DD slash YYYY

MM slash DD slash YYYY


Would you like us to call or text you at this phone number?

My pet has had food withheld for a minimum of 8 hour:

My pet’s current medications/supplements:
Last given

MM slash DD slash YYYY

This field is for validation purposes and should be left unchanged.