Authorization for Anesthetic Procedure(s) and/or Surgery Anesthetic and medical or surgical procedure(s) to be performed: The most serious or common complications include: Low blood pressure, decreased respirations or heart rate, drop in body temperature, bleeding, healing complications, opening of incision sites, allergic reactions to medications, and though uncommon, anesthetic death.I, the undersigned owner or agent of the owner of the pet identified above, certify that I authorize the veterinarian(s) at this practice to perform the above procedure(s). I understand that some risks always exist with anesthesia and/or surgery and that I am encouraged to discuss any concerns I have about those risks with the attending veterinarian before the procedure(s) is/are initiated. I accept that veterinary medicine is an inexact science and that no guarantee of successful treatment has been made. I have read and understand the nature of the above procedures and give my consent to proceed.
