This is an example of the Consent form you will be asked to sign prior to surgery
I authorise the Hornby Veterinary Centre Ltd (including all shareholders, directors, officers, employees, and agents of the practice) to perform the following procedures:
For the above procedures, the following statement needs to be authorised:
I confirm that I have received a satisfactory explanation of the reasons for, including the opportunity to ask questions about, the procedure/operation/treatment listed on this form.
I confirm that the procedure and treatment, together with possible risks and possible complications, as well as the expected outcome, has been explained to me, to my satisfaction.
I understand that all procedures (especially more complicated, non-routine procedures) may result in unexpected complications and outcomes.
I understand that all anaesthetic techniques and surgical procedures involve some risk to the animal. I understand that if unexpected complications occur, the situation will be reassessed, and further treatment options will be discussed with me. Any further treatment costs will be my responsibility, either during or following the procedure.
In the unlikely event of an accident or emergency during the procedure, immediate lifesaving surgical or medical intervention may be required. In that situation, I authorise the practice to take every reasonable action to control and rectify the problem.
I understand I will be liable for all costs associated with emergency treatment. The practice will attempt to contact me, on the contact phone number that I have given, to discuss options as soon as is reasonably possible.
I also give permission for the veterinarian to use human medicines on my animals or to use veterinary medicines in ways other than their labelled use if the veterinarian believes this is necessary.
PRE-ANAESTHETIC BLOOD TESTING
Our biggest concern is the safety and wellbeing of your pet. For that reason, we will perform pre-anaesthetic blood testing to detect potential underlying problems that may affect your pet’s health. (This is an additional cost)
I understand that I assume financial responsibility for all the services rendered and that payment is due at the time I collect my pet.
I have authority to sign this consent, and I am 18 years or older.
I certify that I have read or had explained to me the above terms and conditions and the procedures referred to in this form.
I consent to the Procedure on a fully informed basis.
