Phone: (970) 484-1848 | Fax: (970) 484-1251 | Mon, Tue, Thu, Fri: 7AM - 6PM | Wed: 7AM - 7PM | Sat, Sun: Closed
To: Dr. Thomas, Dr. Gaffney, Dr. McPalmer and the staff of Mulnix Animal Clinic,
I am the owner or agent of the above-named animal and have authority to execute this consent.
I hereby authorize the performance of the following procedure(s):
Pain medications will be used if necessary. (Additional fees will apply)
ANESTHESIA: A physical exam and pre-surgical labwork help us customize an anesthetic plan to minimize risks for your pet. During the procedure we monitor heart rate, blood pressure, respiratory rate, temperature, oxygenation, CO2, and EKG to help minimize risks. Shaving small areas of fur is necessary for accurate readings of necessary vitals. Although rare, skin irritation may occur at shaved sites.
CATHETERIZATION: An IV catheter will be placed to help support blood pressure and internal organs. This also allows immediate access to the vascular system in case of an emergency.
For any tooth extraction on the lower jaw there is an inherent risk of jaw fracture. The risk is very low but follow up treatment would be determined by our dental specialist.
I hereby also authorize the use of such anesthetics as you deem advisable and performance of such surgical or therapeutic procedures as you determine to be indicated. I agree to indemnify and hold you harmless from and against any and all liability arising out of the performance of any of the procedures referred to above.
I understand full payment is due at the time services are rendered.
We will take every precaution to keep safe while under anesthesia. Occasionally an anesthetic emergency will arise and additional care will need to be administered. Please review the following options and select one option and initial.
We ask that your pet is fasted for this procedure, please do not give food after 10pm the night prior and no breakfast the morning of, water is ok overnight. Feeding a small meal (1/3 of a normal meal) just before 10pm the night before would be acceptable. Please check with us for specific medication questions in regard to IF/WHEN they should be given.