Dentistry Addendum Consent Form

This form is an addendum to the Pre-anesthetic Consent Form. The Pre-Anesthetic Consent form must be completed first.

    Teeth will only be extracted if it is in the best interest of your pet. Please be aware that tooth extractions are NOT included in the price of the dental cleaning. This cost is additional.
    If yes, what phone number will you be available at? (Please note, the Dr. will call and wait 10 min only for a response, if you are not available, the tooth will be left in place)
  • MM slash DD slash YYYY
  • Sign with finger if mobile phone or tablet, drag mouse if PC or Mac.
  • This field is for validation purposes and should be left unchanged.