Consent Form

I am the owner or the authorized agent for the owner of the animal described above, and I have the authority to executethis consent. My signature below certifies that I am over eighteen years of age.

For dentals

The nature of these operations or procedures has been explained to me and I understand what will be done. I am aware that the practice of veterinary medicine is not an exact science and, thus, there are no guarantees for successful treatment.I have been encouraged and given the opportunity to discuss any questions I may have regarding my pet's medical careand my questions have been answered to my satisfaction. I accept that my financial obligations remain regardless of theoutcome.

I have read and understand this authorization and hereby accept and agree to the terms of the consent for treatment.

It is important that we have a phone number where you can be reached if consultation is necessary: