Surgery Consent Form

I, the undersigned owner or agent of the owner of the pet identified above, certify that I am eighteen years of age or older and authorize the veterinarian(s) at Holmes Veterinary Hospital to perform the above procedure(s). I understand that some risks always exist with anesthesia and/or surgery, including allergic reactions, previously undetected heart problems, and death. I am encouraged to discuss any concerns I have about those risks with the attending veterinarian before the procedure(s) is initiated. My signature on this form indicates that any questions I have regarding the following issues have been answered to my satisfaction:

- The reasonable medical and/or surgical treatment options for my pet
- Sufficient details of the procedures to understand what will be performed
- How fully my pet will recover and how long it will take
- The most common and serious complications
- The length and type of follow-up care and home restraint required
- The estimate of the fees for all services
- Any necessary payment arrangements

I further acknowledge the following:

- If my pet is found to have fleas, ticks, or other parasites, it will be treated at my expense (this will be due at the time of pick-up), or my surgery appointment may be denied.
- If my pet is in heat, pregnant, obese, has retained baby teeth, or has retained testicle(s), there will be an additional charge for increased surgery time. This charge will be due at the time of pick-up.