Online Forms

Dental Exam & Treatment Consent Form

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Dental Exam & Treatment 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. If this is an emergency, or if your pet needs urgent care, please call us at 253-845-8122 for a faster response.

A DENTAL EXAM can help us understand your pet’s oral health and aspects of your pet’s overall health. However, a thorough exam of your pet’s mouth, teeth and gums cannot be accomplished without the use of anesthesia. In order to minimize the time that your pet is under anesthesia, it is important that we have clear instructions from you in advance with respect to how you would like us to treat any condition that we may discover during the anesthetized dental exam.

BLOOD WORK: It is our job to ensure that your pet can properly process and eliminate the anesthetic he/she is given today. Before we perform any procedure requiring anesthesia, we require pre-operative blood work on your pet. With testing, we are able to confirm that your pet's organs are functioning properly and could potentially reveal any hidden health conditions that could put your pet at risk.

I am the owner (or authorized agent of the owner) of the animal described above, and have the authority to execute this consent. I understand that some risk always exists with anesthesia, even in apparently healthy animals, including the possibility of death. I have discussed my concerns with the veterinarian and understand that it may be necessary to provide additional medical or surgical treatment to my pet in the event of unforeseen circumstances. I realize that no guarantee, legal or ethical, can be made to me regarding the outcome of any procedure performed. Subject to my directions above, I hereby authorize the use of anesthetics and other medications, as well as any such additional treatment, as deemed necessary by the veterinarian. I understand that hospital personnel will be employed in treating my pet. I have carefully read, and fully understand, this consent. The fees associated with these services have been explained to me with an estimate, and I agree to pay such fees in full at the time my pet is released from the hospital.