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Anesthesia/Sedation Consent Form

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It is our hospital policy that all dogs and cats be current on rabies vaccination.  Please provide prior vaccine records if available. Patients without proof of current rabies vaccination may be vaccinated during their visit at the owner’s expense at the veterinarian’s discretion.


Patients presented with live fleas or ticks may receive treatment at the owner’s expense to reduce transmission risk within the hospital.

ANESTHETIC/SURGICAL CONSENT:

I authorize the use of appropriate anesthetics, sedatives, and medications deemed necessary for my pet’s treatment and care. I further understand that there are certain risks involved with all types of anesthesia and procedures.  I acknowledge that no guarantee has been made as to the results that may be obtained.

I assume full financial responsibility for all charges incurred relating to my pet’s treatment and care and understand that payment in full is due at the time my pet is discharged.


I understand unforeseen conditions may be discovered during anesthesia, sedation, surgery, dental procedures, or hospitalization. I authorize NHVGS veterinarians to provide additional diagnostics and treatment considered medically necessary for the health, comfort, or stabilization of my pet while reasonable attempts are made to contact.

For patients that have incisions (spay, neuter, biopsy, mass removal):
I request the following additional services while my pet is sedated/under anesthesia:

CPR CONSENT:

I understand that anesthesia and sedation carry inherent risks, including complications, cardiac arrest, and death, despite appropriate monitoring and care.


I understand that CPR success rates in veterinary patients are variable and may be low depending on my pet’s condition.


CPR efforts may include chest compressions, intubation, oxygen support, emergency medications, emergency procedures, and/or continued hospitalization, which may result in additional costs.


In the absence of a signed CPR decline, NHVGS staff may initiate CPR at the attending veterinarian’s discretion.

CPR Acknowledgement:
I ACCEPT CPR FOR MY PET IF NEEDED
I DECLINE CPR FOR MY PET

NOTE: IF YOUR PET IS HAVING A DENTAL PROCEDURE PERFORMED, PLEASE FILL OUT THE DENTAL CONSENT FORM AS WELL (REQUIRED).

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