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Surgery Consent Form

Save time at your next appointment! Please complete your required Surgery Consent Form online from any device at any time before your visit.

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Surgery Consent Form

Please complete this form completely and accurately so that we can get to know you and your pet(s) before your visit. If this is an emergency or your pet requires immediate attention, please call us at 770-532-0491 for a faster response.

Client Information

Owner’s Name *

First

Last

Address

Address Line 1

City

State

Zip Code

Phone *

I consent to receive SMS text messages from Gainesville Veterinary Hospital. Msg & data rates may apply. Reply STOP to opt-out. *

Email *

Pet’s Name *

Breed *

Sex, Age *

Color *

I, the undersigned, authorize ______________________________________________surgery for my pet. The nature and risks of this procedure have been explained to me. I understand that some risks exist with surgery and I am encouraged to discuss any concerns associated with risks with my veterinarian before the procedure(s) are started. My signature on this consent form indicates that questions have been answered to my satisfaction.

Authorization *

I, the undersigned, authorize______________surgery for my pet. The nature and risks of this procedure have been explained to me. I understand that some risks exist with surgery and I am encouraged to discuss any concerns associated with risks with my veterinarian before the procedure(s) are started. My signature on this consent form indicates that questions have been answered to my satisfaction.
I authorize Gainesville Veterinary Hospital to perform any additional diagnostic, treatment or surgical procedure(s) deemed necessary for medical or surgical complications or any unforeseen circumstances. While Gainesville Veterinary Hospital provides the highest quality of anesthesia monitoring and surgical services, I understand the risks and understand that the veterinarians and hospital team will do everything possible to reduce any risks. I will not hold Gainesville Veterinary Hospital, the veterinarians or any team member liable for any complications that may arise.

I HAVE READ AND FULLY UNDERSTAND THIS SURGERY CONSENT FORM.

Signature of Pet Guardian *

Clear Signature

Date *

Phone number where I can be reached *

Phone

Online Forms

Surgery Consent Form

Surgery Consent Form

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