I am the owner or the authorized agent for the owner of the animal described above, and I have the authority to execute this consent. My signature below certifies that I am over eighteen years of age.

I have been informed that there are certain risks and complications associated with sedation, anesthesia, and/or any operation/procedure and that the risks/complications have been explained to me. I further understand that during the course of the operations or procedures, unforeseen conditions may arise that may necessitate the performance of additional procedures deemed necessary by the veterinarian. I am encouraged to discuss any concerns I have about these risks with the attending veterinarian before the procedure is initiated.

I authorize the use of appropriate anesthesia and pain relief medication as needed before, during or after the procedure. I have been informed that there are risks associated with the use of any medication.

The nature of these operations or procedures has been explained to me and I understand what will be done. I am aware that the practice of veterinary medicine is not an exact science and, thus, there are no guarantees for successful treatment. I have been encouraged and given the opportunity to discuss any questions I may have regarding my pet's medical care and my questions have been answered to my satisfaction. I accept that my financial obligations remain regardless of the outcome. I have read and understand this authorization and hereby accept and agree to the terms of the consent for treatment.
CPR
In the event that my pet should experience cardiac or respiratory arrest while being hospitalized today, do you give consent for resuscitative efforts to be initiated until you can be contacted further and notified of the status?

By consenting to this service, you are also acknowledging that certain fees will apply. If you are not able to be contacted immediately, resuscitation efforts will be continued to be performed at the doctor’s discretion.
DENTAL ESTIMATE
DENTAL X-RAYS(Required)
Your pet has significant dental disease and may require oral surgery and/or extractions. Dental radiographs are needed to evaluate the degree of periodontal disease. We use them to uncover abnormal areas below the gumline, retained root tip, and bone loss that puts your pet at risk for fracture of jaw during extraction. Taking dental x-rays ensures all diseased teeth are treated appropriately.
MICROCHIP
HOSPITALIZATION
Willoughby Veterinary Hospital is not an emergency clinic, which means we do not have overnight staffing. The only emergency clinic in the area is MSU. We are always more than happy to transfer a patient to MSU for 24 hour care and monitoring. In situations where the Dr. on staff feels your pet needs 24 hour care and feels your pet can stay at W.V.H. or financially transferring is not a possibility, we do keep patients overnight knowing there are inhered risks (pulling IV catheter, low body temperature, low blood sugar, fluid overload, etc)
LASER
Used to treat any inflammatory condition. The laser can greatly decrease pain and increase healing. Cost = $25
PICTURES:
**Up to date vaccines (Rabies, Distemper/Parvo, Bordetella for dogs; Rabies and FCRP for cats) and an up to date heartworm test are all required (if no proof of doing them elsewhere) for surgical procedures/prior to going under anesthesia**
**Please note, if your pet is having a spay or neuter, we do routinely apply a small tattoo on their abdomen which indicates they are fixed**