Page 3315 - Cote clinical veterinary advisor dogs and cats 4th

Several of these may require referral to a veterinary specialist, but
we can discuss these options when they exist.
____________________________________ ______________
AUTHORIZATION Signature of pet owner/owner’s agent Date
VetBooks.ir By signing this form below, you agree that:
• You understand how/why the procedure is likely to help your
pet
• You understand what will be done to your pet during the ____________________________________ ______________
procedure Witness to consent (signature) Date
• You understand the known risks that accompany the procedure,
and also understand that unforeseen complications may occur ____________________________________
• You understand that the procedure may not produce the results
we hope to achieve Witness to consent (printed name)
• 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.