Authorization and Risk Assessment

I authorize anesthesia/surgery for my pet. The nature and risks of this procedure have been explained to me.

I understand that some risks always exist with anesthesia and/or surgery, and I am encouraged to discuss any concerns I have about those risks with my veterinarian before the procedure(s) is(are) initiated.

My acceptance of this consent form indicates that any questions have been answered to my satisfaction. I authorize Colonial Animal Hospital to perform any additional diagnostics, treatment or surgical procedure(s) deemed necessary for medical or surgical complications or otherwise unforeseen circumstances. I understand that there are rare complications associated with any anesthesia or surgical procedure. No warranty or guarantee has been given to me as to the results or cure afforded by these treatments or procedures. I fully understand these risks and understand that the veterinarian and hospital staff will try to minimize such risks.

I will not hold Colonial Animal Hospital, the veterinarian, or any staff member liable for any complications that may arise.

I agree to assume full financial responsibility at the time of services rendered and provide payment via cash, care credit, credit card or check. I also understand that these charges will be paid in full at the time of release and that a deposit may be required for medical and surgical treatment. I have reviewed and fully understand the terms and conditions set forth above.

I understand that if there has been a decision made to extend hospitalization for my pet into an overnight stay, my signature on this document confirms that I have been notified that Colonial Animal Hospital does not have 24hr patient supervision. In the event that I consent to an overnight hospitalization for my pet. I understand that because there is not a veterinarian or staff on the premises at night after regular business hours. This could leave my pet at risk for injury, illness, physical decline or accidental death due to the absence of complete 24hr supervision.