Authorization: Please read, consent and sign below.
I, the undersigned owner or authorized agent of the owner, certify that I am over eighteen years of age and hereby consent and authorize North Penn Animal Hospital to perform the above described procedures and services. Furthermore, I agree that after consultation with me, the hospital’s doctors may prescribe medications for, treat, hospitalize, sedate, anesthetize and or perform surgery of this animal.
If my pet needs anesthesia/surgery: I acknowledge that I have been informed of the potential risks associated with surgery and anesthesia. At North Penn Animal Hospital, we take every precaution to prevent complications through pre-surgical exams and bloodwork. Despite these measures, post-operative complications such as infection, swelling, lethargy, and variable recovery times can occur, and in rare cases, may result in death. I understand that each animal's response to surgery can differ based on the condition's involvement and individual factors. I am encouraged to discuss any concerns I have about those risks with the attending veterinarian before the procedure is initiated.
I further agree that either I, or an authorized agent of mine, will pick up this pet and pay for all accrued charges when my pet is discharged from North Penn Animal Hospital. I assume full financial responsibility for all expenses involved including monthly billing and services charges that will be added to my invoice if special billing arrangements have been made. Our payment options are Cash, Personal Check, Debit, Visa, MasterCard, American Express or CareCredit.