Dental Anesthesia Consent Form

Anesthetic and surgical procedures to be performed: 

Ultrasonic Dental, Polish with Fluoride Treatment

I, the undersigned owner or agent of the pet identified above, authorize the veterinarians at All Creatures Animal Hospital to peprocedures. I understand that some risks always exist with anesthesia and/or surgery, and I am encouraged to discuss any cabout those risks with the attending veterinarians before the procedures are initiated.

While I accept that all procedures will be performed to the best of the abilities of the staff at this hospital, I understand that no warranty has been made regarding the results that may be achieved.

I understand that any prices quoted for such procedures are for non-complicated operations and that any unforeseen complicain further cost. I assume financial responsibility for all charges incurred for this patient, and I consent to the release of medicathe said animal.

I have read and fully understand the terms and conditions set forth above