August 10, 2022
I Agree I understand that the cost involved in the requested procedure(s) are to be paid in full at the time of my pet's release.
I Agree I am the owner or agent of the above named pet and herby authorize the performance of the requested procedure(s). I understand that unforeseen conditions may necessitate an extension of the procedure/treatment or a change in the plan and therefore authorize such action as are necessary in the professional judgement of the veterinarian. I authorize the use of appropriate anesthetics and medications. I have been advised of the nature of the procedure and I understand that while every effort will be made to provide the best care for my pet, results cannot be guaranteed.
I Agree I have read the above information. I understand and agree to the conditions and policies of Lebanon Small Animal Clinic. Inc.