Surgery Consent Form

Patient History

ISOFLUORANE: The anesthetic of choice for all surgical cases (except some feline procedures). Inhalant anesthetic patients are monitored with an ECG.

PRE-SURGICAL BLOOD TESTING is recommended to help reduce the risks involved with anesthesia. This test checks the internal status of your pet including liver and kidney function (these are the main organs that metabolize anesthesia), complete blood count and blood glucose level.
I, the undersigned, do hereby certify that I am the owner or duly authorized agent for the owner of the animal described above and have the authority to execute this consent. I understand that during the performance of the procedure, an unforeseen situation may arise that necessitates an extension or variance in the procedure set above. I hereby authorize West Russell Animal Hospital to use reasonable care and judgment in performing the procedure. I have been advised as to the nature of the procedures and the risks involved in performing general anesthesia to the above described animal. I realize that results cannot be guaranteed. I have read and understand this authorization and consent. I further understand that I assume financial responsibility for all services rendered. I understand that all pets presented to West Russell Animal Hospital for a procedure must be current on vaccinations.