Sedation Consent Form in Tulsa, Oklahoma - Woodland West Animal Hospital

Name*

First Last

Phone*

Would you like surgical updates via text?:*

Yes
No

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Pet's Name*

I authorize the doctors and staff of Woodland West Animal Hospital to perform the following procedures on my pet.*

Reason for sedation

Your pet may require an intravenous catheter to be placed to give immediate access to a vein in the event of an emergency and to administer fluids during the procedure. In order to place the catheter, it may be necessary to clip the hair on one or more of your pet's legs. If you would prefer this not to be done, please note so below. It is preferable to have pre-anesthetic blood work performed on your pet prior to sedating him/her, but is not required. Depending on the circumstances it may or may not be possible to perform such blood work before the procedure. If you wish to have a comprehensive blood profile performed, please indicate so below.

Other optional procedures:

Client Signature (Please Type Your Name to Sign). By clicking submit I acknowledge that my pet's procedure and its possible complications have been fully explained to me. I understand the risks associated with general anesthesia and that this may include death.*

Please type your name to sign