Drop Off Sedation Consent Form

I am satisfied after speaking with the staff of Frey Pet Hospital that they will treat your pet as they deem necessary for his/her health, safety, and well-being; however, I do understand that no guarantee of successful treatment can be made. I acknowledge that I have read and fully understand this Authorization for Medical Treatment, the reason why such medical treatment is considered necessary, as well as its advantages and possible complications, if any. I acknowledge that a small area of hair may be shaved in order to obtain a sample.

I understand that payment is due at the time of your pet’s discharge and that a deposit may be required for extensive medical or surgical procedures.

I, the undersigned, do hereby certify that I am the owner or duly authorized agent for the owner of the pet described above. I do hereby give Dr. Steen, or his agents, and/or representatives full and complete authority to administer an appropriate sedative to the pet for the purpose of obtaining/performing the following diagnostic test(s) and/or procedure(s):