Sedation Form

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"*" indicates required fields

Pet Owner Information

Name of Pet Owner:*

Patient Information

Please Provide Consent per the Following:


I hereby authorize Cypress Creek Animal Hospital to perform medical procedure(s) and to administer such treatments and anesthetic procedures as they deem necessary for my pet.

I have been advised and understand the nature of the procedure(s) as well as the risks involved. I authorize Cypress Creek Animal Hospital to provide any appropriate care should an unexpected complication arise.

Furthermore, I agree that payment is due at the time of services rendered.
Consent*
This field is for validation purposes and should be left unchanged.