Surgery & Anesthesia Consent

Save time during your next appointment! Complete your required forms online from any device at any time before your visit.

Surgery & Anesthesia Consent Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please call us at 513-941-2551 for a faster response.

Patient Status

For Mass Removals

Optional Services Requested

The time during which your pet is anesthetized is a great time to perform these services.

Anesthetic Consent Statement: I verify that I am the owner, or authorized agent of the owner, of the pet listed above. I authorize anesthesia and surgery/dentistry for my pet, as described above. The nature and risks of this procedure have been explained to me. I understand that some risks always exist with anesthesia, surgery, and dentistry, including death. Additionally, I authorize the Animal Hospital of Delhi Hills to perform any intervention deemed necessary for any unforeseen medical or surgical complications that may arise, and I accept full responsibility for any associated fees. If overnight hospitalization is recommended, I understand that no staff will be on the premises after hours to attend to my pet, and that

I have the option to be referred to a 24-hour facility for overnight care. I have read and understood the authorization and consent details above.

Clear Signature