Anesthesia Consent Form

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

Anesthesia Consent Form


I, the undersigned owner or agent of the pet identified above, authorize the veterinarians at Sachse and/or Murphy veterinary hospitals to perform the above indicated procedure(s). I understand that some risks exist with anesthesia and/or surgery and that I am encouraged to discuss any concerns I have about those risks with the attending veterinarians before procedures are initiated.
Pre-Anesthetic blood work ($45-65)
Antibiotics/Pain Meds (price varies based on product, pet's weight, and duration needed)
Microchip ($69, includes implant and 1 year registration with Home Again)
Add a Dental Cleaning ($90-$135 plus add'l anesthesia time)
Cold Laser Therapy ($10)

For Dental Patients ONLY

Dental Radiographs (x-ray) and Tooth Extraction
While I accept that all procedures will be performed to the best abilities of the staff at this hospital, I understand that no guarantee or warranty has been made regarding the results that may be achieved. I understand that prices quoted for such procedures are for non-complicated procedures and that any unforeseen complications may result in further cost. I assume financial responsibility for all charges incurred and I consent release of medical information for the animal.
I have read and fully understand the terms and conditions set forth above.
Clear Signature