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Surgery Consent Form

Is your pet having surgery at our referral center? Please read and complete this form at least 48 hours before your scheduled procedure. If you have any questions, please do not hesitate to contact us.

Surgery Consent Form

Please complete this form completely and accurately.

I have discussed the surgical procedure listed above with Dr. Collins. I understand that there are risks and hazards involved with the recommended surgical procedure, including anesthetic risk. I realize no guarantee or warranty can ethically or professionally be made regarding the results or cure.

Surgical Risks May Include:

1. Infection, which may require additional testing and medication at an additional cost
2. Hemorrhage (bleeding) or bruising
3. Swelling or edema postoperatively
4. (If applicable) implant breakage or failure, requiring additional surgery at an additional cost

Adverse Drug Events (ADE). Any time any medication is given to a patient there is a possibility of an adverse reaction. This can range from something mild, such as nausea or a rash, to something life threatening. We monitor all patients given medications while in our care. If a problem develops it will be identified and treated as aggressively as possible. If your pet has had any known reactions to any medication in the past, please let someone on the team know.

Strict adherence to post-surgical care and medicating of your pet will minimize these potential complications. Serious problems are very uncommon in most cases. Your pet will need to be under exercise restrictions until healing is confirmed by medical progress examinations, which may include anesthesia and radiographs (X- rays). Please do not allow your pet to return to full activity, bathe, allow to run, play, or swim until released by Dr. Collins. Using the e-collar to prevent self-grooming is critical to avoid incisional infections.

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