CAT Program Desexing Consent Form
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Client Details

Name
Address

Pet Details

Sex
Check all that apply:
Reason for visit:
Has your Pet been Fasted for Surgery?

Consent

I am over the age of 18 years and am the owner or agent for the owner of the above-described animal and have the authority to execute this consent.

I hereby authorize AWLQ Inc. to perform all procedures as recorded on this form. I understand that during the performance of the procedures, unseen conditions may be revealed that necessitate an extension of the procedure. Therefore, I hereby consent to and authorize the performance of such procedures as are necessary and desirable in the exercise of the veterinarian's professional judgement.

I understand that these procedures may be performed by (and/or under the supervision of) any qualified member of our staff.

I assume financial responsibility for charges incurred to the patient.

I am aware that my pet is scheduled for a procedure that requires anaesthesia / sedation. I understand that although all reasonable precautions and due care will be taken; there is always a potential risk with any medical/surgical procedure, including death. I accept these risks and authorise AWLQ Inc. to perform such
treatment as deemed necessary.

I acknowledge that the AWLQ Inc. takes careful measures that patients at the clinic will not be exposed to contagious illnesses whilst they are on the premises. I recognize that if my pet is affected by contagious disease while at the clinic and my pet does not have a current vaccination history I am financially responsible for costs of treatment.

I will ensure that I am able to respond to the phone number provided throughout my cat’s stay at the clinic.

IMPORTANT: It is your responsibility to ensure the best home care for optimum healing, it is advised to purchase an E-Collar for your pet and place it on them as soon as possible to reduce the risk of post-surgery complications. If unforeseen post-surgery complications arise, we will check your pet at no cost to you, however if surgery or additional medication is needed you are responsible for any costs incurred. 

consent
My signature on this form indicates that any questions I have, have been answered to my satisfaction and I consent for the treatments/procedures to go ahead.
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