Bayshore Animal HospitalDental Consent Form

Save time during your next appointment! Complete your required form online from any device at any time before your visit.

Dental Consent Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet before your visit.
Your pet is scheduled for a procedure that requires anesthesia. Like you, our greatest concern is the well being of your pet. We strongly recommend that a pre-anesthesia blood profile be performed prior to anesthetizing your pet today. The results provide vital information about the functions of the blood system and internal organs.
Profile 1 -Patients under age 8
Profile 2 -Sick or Geriatric over age 8
Includes all tests above, and:
Detects disease and provides a detailed evaluation of vital organs and blood system.
By declining, I understand that a medical condition may exist which would be impossible to identify during a physical exam alone. I understand that my pet’s health could be at risk if such a condition goes undetected.
20% off
This could include dental extractions, X-Rays, Flea control, IV fluids, antibiotics, etc.

I certify that I am the owner or authorized agent for the above animal. I hereby consent to and authorize the doctors and staff at this veterinary practice to admit this pet, and administer anesthesia, surgical procedure(s) and the following procedures as checked above. I have been advised of the nature of the procedures and the potential risks and benefits. I understand that veterinary medicine is an inexact science and that no guarantee of successful treatment can be made.

I acknowledge that I am responsible for payment in full for the above procedures and treatments at the time my pet is discharged.

I will not hold Bayshore Animal Hospital legally liable for any complications.

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