Page 3275 - Cote clinical veterinary advisor dogs and cats 4th
P. 3275
radiation therapy, or supportive care can replace chemotherapy,
although survival times may be different. Of course, in any severe
illness there is also an option to choose euthanasia to end a pet’s ____________________________________ ______________
life humanely, or the option to provide hospice care to minimize Signature of pet owner/owner’s agent Date
VetBooks.ir AUTHORIZATION
pain and let the pet die naturally.
By signing this form below, you agree that: ____________________________________ ______________
• You understand how/why the procedure is likely to help your Witness to consent (signature) Date
pet
• You understand what will be done to your pet during the ____________________________________
procedure
• You understand the known risks that accompany the procedure, Witness to consent (printed name)
and also understand that unforeseen complications may occur
• You understand that the procedure may not produce the results
we hope to achieve
• You understand the alternatives to this procedure for your pet
• You agree that you have been given time to ask questions regard-
ing the procedure, that these have been answered satisfactorily,
and that you are free to decline the procedure.
Practice Stamp or Name & Address
Also available in Spanish.
From Cohn and Côté: Clinical Veterinary Advisor, 4th edition. Copyright © 2020 by Elsevier Inc. All rights reserved.