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Anesthetic and Surgical Consent Form

Our team wants your next visit to our clinic to be as smooth as possible. Fill out your Anesthetic and Surgical Consent form here to save time on your next visit!

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Your vet near Clark, PA

At Happy Tales Veterinary Hospital, we understand that your pet is an important member of your family. Make your next visit a breeze by filling forms out online.

Authorization for Anesthetic and Surgical Procedures

I authorize and direct the veterinarian and team of Happy Tales Veterinary Hospital to perform such diagnostics and treatment procedures as may be advisable and necessary for the health of my pet. I understand that there may be risks associated with anesthesia and the procedure. *

I give authorization to the above statement.
I do not authorize the above statement.

The nature of these procedures and the associated fees have been explained to me and no guarantee has been implied or made to the results or cure. I agree to pay, in full, for all services rendered for and to my pet, including those deemed necessary for medical or surgical complications due to unforeseen circumstances. Any estimate/treatment plan given is an approximation and the final bill may be greater or less than this amount. *

I have read and agree.
I have read and decline.

In case of emergency, I authorize the hospital team to do all that is necessary to aid my pet. I understand I am responsible for costs incurred for emergency treatment. *

I give authorization to the above statement.
I do not authorize the above statement.

Signature *

Clear Signature

Name *

Contact Number *

Secondary Contact Number

Witness (HTVH Team)

We now have a NEW portal to text message and email you after your pet’s procedure! If you are interested, please fill out the detales below with preferred method

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Online Forms

Anesthetic and Surgical Consent Form

Your vet near Clark, PA

Authorization for Anesthetic and Surgical Procedures

We now have a NEW portal to text message and email you after your pet’s procedure! If you are interested, please fill out the detales below with preferred method

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