I am the owner (or authorized agent for) of the above-mentioned animal.
I have discussed the reasons for hospitalization and I am satisfied with the plan of management. The nature of such services has been described to me to my satisfaction and I realize that neither guarantee nor warranty can ethically or professionally be made regarding the results or cure. I authorize use of sedatives and pain medications if deemed warranted. If anesthesia or sedation is required, I understand, and accept that there are always inherent risks,
including death. I also authorize the clinic staff in an emergency situation, to follow through with such procedures as are necessary for the well being of my
pet on a continuing basis until further communication with me is possible.