Surgery Consent Form

Would you like your pet’s vaccinations updated today? Please mark any you'd like them to receive.

I understand that during the procedure, unforeseen conditions may be revealed that necessitate an expansion or variance in the procedure(s) authorized above. I expect Westwood Veterinary Hospital to use reasonable care and judgment in performing the procedure(s). The nature of the procedure(s) and the risks involved have been explained to me and I realize results cannot be guaranteed. I am also aware that unforeseen events resulting from the procedure(s) will not relieve me from any obligation to all reasonable costs incurred regarding my pet.

Promissory Note:

I understand and agree that I am financially responsible for the payment for all services received and will be charged the interest of 1.5% of any balance over 30 days. If legal action is required to collect any fees due, I will be required to pay actual court cost and attorney fees.