Page 3336 - Cote clinical veterinary advisor dogs and cats 4th

AUTHORIZATION
By signing this form below, you agree that:
• You understand how/why the procedure is likely to help your pet
VetBooks.ir • You understand the known risks that accompany the procedure
• You understand what will be done to your pet during the
procedure
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, Practice Stamp or Name & Address
and that you are free to decline the procedure.

____________________________________ ______________
Signature of pet owner/owner’s agent Date

____________________________________ ______________
Witness to consent (signature) Date

____________________________________
Witness to consent (printed name)

Also available in Spanish.

From Cohn and Côté: Clinical Veterinary Advisor, 4th edition. Copyright © 2020 by Elsevier Inc. All rights reserved.