I hereby certify that I am the owner or duly authorized agent for the owner of the animal described above, and am 19 years of age or over.

I understand that some risks always exist with sedation and that I am encouraged to discuss any concerns I have about these risks with the attending veterinarian before the procedure is
initiated. I understand that during the procedure(s), unforeseen conditions may be revealed that necessitate an extension of the foregoing procedure(s) that are set forth above. Therefore, I hereby consent to and authorize the performance of such procedure(s) or operation(s) as are necessary and desirable in the exercise of the veterinarian's professional judgment. I also authorize the use of appropriate anesthetics and other medications, and I understand that hospital support personnel will be employed as deemed necessary by the veterinarian.

I have been advised as to the nature of the procedures or operations and the risks involved, including the unfortunate possibility of complications causing death. I realize that no guarantee can be made legally or ethically to me regarding the outcome of any procedure performed. I have carefully read and do fully understand this authorization and consent.

Under legislation where there are no suitable medicines specifically authorized for the treatment of a particular species or a particular medical condition in that species, a medicinal product authorized for a different medical condition, or for use in another animal species or in humans may be used for the treatment of your animal. Such products will be used only when we
consider them to be the most appropriate treatment.

The risks inherent in the procedures, treatments and sedation have been thoroughly explained to me and I accept those risks, including sedation/anesthesia mortality or infection.