TNR SURGERY/ANESTHESIA REQUEST AND CONSENT FORM

TNR

Rescuer

Animal Details

Sex *
Medical Collar ( Additional cost; depends on the size ) *
Pre-anesthetic blood test (PAP) to check liver and kidney functions (additional 200 aed) *
If dental extraction needed (additional 75 aed per tooth) *
FIV/FeLV testing *
If POSITIVE for FIV or FeLV *
By pressing Submit button, I, the undersigned, do hereby certify that I am the owner (duly authorized agent for the owner) of the animal/s described above, that I do hereby authorize Karas Veterinary Clinic to perform the surgical procedure/s above.

Please note that it is our experience that during cases of teeth check/descaling we may find circumstances where badly decayed or misaligned teeth are causing the animal discomfort. On these occasions, we would proceed in the interest of animal’s health and extract the concerned tooth/teeth.

I understand that all reasonable care and precautions will be taken and that there are some risks involved and I accept responsibility for those risks.

I also authorized the doctors and staff to perform any life-saving procedure deemed necessary in the event of an emergency and understand that no guarantee of successful treatment is made.

I have read and understood this release and I accept full financial responsibility.

In the event of no response to communication or payment for more than 48hrs, the clinic has the right to surrender the patient to the municipality.

Karas Veterinary Clinic