Surgery Release Form – Humane Society

Name(Required)
is here for:
I understand that during the performance of these procedures, unforeseen conditions may be revealed that necessitate an extension or variance in the procedures set forth. I expect Prospect Veterinary Clinic doctors to use reasonable care and judgment in performing these procedures. The risk associated with surgery has been explained to me. I am also aware that unforeseen events resulting from the procedure will not relieve me from any obligation to pay all reasonable costs incurred regarding. I understand that payment in full is required at the time services are rendered. By signing this form, I acknowledge that I am the owner or authorized representative that can make medical decision for the above said pet.