Patient Forms

Check in items Groom Medication feeding

* BOARDING RELEASE

At YOUR FAMILY VETERINARIAN, INC every effort is made to provide a safe and clean boarding environment for every pet that stays at our facility. We rely on the input of the pet’s owner to know what the pet’s normal routine is, and to help that pet adapt to the boarding facility as comfortably as possible. If you have a pet with special medical needs, we rely on the pet owner for very specific instructions and a detailed history so that we can best care for your special needs pet.

I, the undersigned, do hereby certify that I am the owner or the duly authorized agent for the owner of the animal described above, and that I do hereby give Dr. Garcia and his representatives full and complete authority to perform the procedure(s) listed above. I also authorize the said Doctor and his representatives permission to perform any procedure at his discretion that is life saving or is critical to the pets health.

I, the undersigned, do hereby certify that I have been informed and understand the risks associated with the use of anesthesia/sedation.

GAS ANESTHESIA: I have been informed of my option to use Isoflurane or Sevoflurane during the procedure listed above. While Isoflurane is extremely safe, Sevoflurane is newer and safer and gives us the option of a quicker post-surgical recovery.

SHORT DURATION INJECTABLE ANESTHESIA: I have been informed that short duration injectable anesthesia will anesthetize my pet for a finite period of time, usually 30 minutes or less. I am aware that this may not be enough time to complete the procedure listed above.

PRE-ANESTHETIC DIAGNOSTICS: (check all testing that owner has agreed to perform)

Some apparently healthy pets have problems (heart, liver, kidneys) which are not evident on routine examinations – yet could produce complications during anesthesia and surgery. Though these problems are more common in older pets, young pets are at risk as well due to their genetics. These risks can be greatly reduced by performing pre-anesthetic testing. These diagnostics have been explained to me and I have exercised my option to accept or decline the individual tests.

Patien Information