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Anesthesia Consent Form

Please provide complete information

I am the owner or the authorized agent for the owner of the animal described above, and I have the authority to execute this consent. I hereby give Dr. Barton or Dr. King , the Washington Family Veterinary Clinic, and any authorized agents, staff, or representatives consent and authority to perform the following procedures or operations

The nature of these operations or procedures has been explained to me and I understand what will be done. I have also been informed that there are certain risks and complications assoicated with any operation or procedure of this type. They have been explained to me as well. I further understand that during the course of the operations or procedures unforeseen conditions may arise that may necessitate the performance of additional procedures. I authorize the use of appropriate anesthesia and pain relief medication as needed before or after the procedure. I have been informed that there are risks associated with the use of any medication. I understand that hospital support personnel will be used as deemed necessary by the veterinarian.

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