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Update:
COVID-19 Hospital Protocols
Hours & Contact
616 Apollo Rd
Scott, LA 70583
Monday - Friday: 7:00am - 5:00pm
Saturday: 8:00am - 12:00pm
Sunday: CLOSED
337-223-9581
After Hours ER: (337) 989-0992
[email protected]
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Anesthesia and Surgical Consent Form
Patient Name
Owner Name
Owner Email
Describe your reason for your appointment
When is the last time your pet drank?
Please state the date and time
When is the last time your pet ate?
Please state the date and time
Please list all current medications your pet is taking (Including vitamins and supplements)
I have been advised of the nature of the procedure(s) or operation(s) and the risks involved. I understand that during the performance of the procedure (s) or operation(s), unforeseen conditions may be revealed that require an extension of the procedure(s) or operation(s) or different procedure(s) or operation(s) than those set forth below. I hereby authorize the performance of such procedure(s) or operation(s) as are necessary and desirable in the exercise of the veterinarian’s personal judgment. I also understand that results are not guaranteed.
I authorize the use of appropriate anesthetics, and other medications, as necessary and I understand that hospital support staff will be employed as deemed necessary by the veterinarian. Although rare, unexpected severe complications with anesthesia can occur and include, but are not limited to, the remote possibility of infection, bleeding, drug reactions, blood clots, loss of limb function, paralysis, brain damage, heart attack or death.
If your animal requires resuscitation in the event of cardiac or respiratory arrest, do you want our medical team to provide those life saving services?
Yes
No
I understand that fees quoted are tentative and are subject to change depending on the individual case. I understand also that payment is to be made in full at the time my animal is discharged or services have otherwise been terminated.
Signature of Owner
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