General Consent Form Prior to acceptance for a scheduled procedure, answers to the following questions are important to ensure the safety of your animal and appropriate services are rendered. Owners First and Last Names* First Last Animal's Name* Animal's Age* Sex* Male Male Neutered Female Female Spayed Weight* Recommended test, treatment and or procedure recommended by staff or veterinarian. Please list Comments or special requests? Please note here if you have any comments or special requests.Agreement/Consent* I AGREE AND CONSENTI consent and agree to the services recommended to and listed by me, above. I understand there are additional charges for services as listed. While a verbal estimate should be requested and typically provided, by ticking this box and signing below I decline a written estimate unless already provided in advance for the above listed recommended tests, procedures or treatments.Date of agreement and consent* MM slash DD slash YYYY Signature*Sign with finger if mobile phone or tablet, drag mouse if PC or Mac. CAPTCHAEmailThis field is for validation purposes and should be left unchanged.
