PROCEDURE TO BE PERFORMED TODAY:
Would you like us to send out the mass to our reference laboratory for additional testing? By consenting to this service, you are acknowledging that additional charges will apply.
In the event that your pet should experience cardiac or respiratory arrest while boarding, do you give consent for
resuscitative efforts to be initiated until you can be contacted further and notified of your pet's status?
By consenting to this service, you are also acknowledging that certain charges will apply. If you are not able to be
contacted immediately, resuscitation efforts will be continued to be performed at the doctor’s discretion.
If you cannot be reached at the phone number provided above, we will not proceed with the procedure or treatment. This can cause delays in pick-up times, and our ability to treat your pet. You will be still be charged for any services performed.
OWNER RELEASE AND CONSENT
MVVH Orland, Inc., doing business as Mid-Valley Veterinary Hospital, will use all reasonable precautions against injury, escape, or death of your pet. I understand that anesthesia and surgery always involve some risk to your pet and agree to hold Mid-Valley Veterinary Hospital harmless, in the absence of negligence, in connection with these procedures. I acknowledge that no guarantee or assurance has been made to me as to the results that may be obtained. In the event complications arise and I cannot be immediately contacted at the below-listed phone number, Mid-Valley Veterinary Hospital is directed to make the decision(s) it deems best for my pet. I have read the foregoing, understand what it says, and agree.
A DEPOSIT OF 50% OF THE COST OF THE TREATMENT PLAN IS DUE AT THE TIME OF PATIENT
DROP OFF FOR ALL SURGERIES AND EMERGENCIES. I ACKNOWLEDGE THAT ANY REMAINING
BALANCE IS DUE AT TIME OF DISCHARGE.
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