surgery consent form

Surgery Consent Form

Please fill out our surgery consent form if you’re pet is undergoing surgery with us at Edmonds-Westgate Veterinary Hospital.

    Surgery Consent Form

    Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

    Pet Information

    Contact Information

    * This person has your authority to consent to medical decisions regarding your pet's surgical care in the event we cannot reach you.

    Additional Services Desired While Patient Is Sedated

    Authorization

    Clear Signature