Please note: We will be closed on Monday, May 29th, in observance of Memorial Day!

Authorization forSurgery with Anesthesia Form

Make the most of your next appointment by saving time! Before your appointment, fill out your authorization for surgery with anesthesia form from any device at any time.

Authorization for Surgery with Anesthesia Form

Pet Information

Contact Information

Note: In case of an emergency and/or prior to additional procedures, you will be contacted by telephone. Please keep yourphone with you.

In addition to the planned procedure and pre-operative diagnostics, we offer the following options added to your pet’s plan to help ensure safety and comfort (see additional cost).


We place the highest priority on ensuring you feel comfortable with the plan for your pet’s care and fully understand the authorizations above before giving your consent. If you have any questions or need clarification on any of the choices, please contact the hospital so a medical team member can review the form with you prior to completing it. As always, thank you for entrusting us with your pet’s care!