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Mon – Fri: 7:30 AM – 6:00 PM
Sat: 7:30 AM – 12:00 PM
Sun: Closed

(281) 334-2888
3030 Marina Bay Dr.
League City, TX, 77573
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Anesthetic Release Form

Anesthesia/Surgical Release Form

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Owner Information

Advances in anesthesia have made elective procedures safer with a low rate of anesthetic complications. Complications can arise because of pre-existing conditions not evident during previous examinations. In order to evaluate your pet’s current health status, a pre-anesthetic examination will be performed by a doctor. In certain rare circumstances a condition may exist that is not evident on physical examination or pre-anesthetic screening, which could result in an anesthetic complication. Patients will be monitored during and after anesthesia. Pain relief medication will be administered in hospital and dispensed for at home use at the discretion of the doctor.

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Pet Information

We require pre-anesthetic screening prior to all anesthetic procedures. A complete blood count and standard profile will be completed. This information helps us to make appropriate recommendations for your pet's procedure. In addition, you have the option to upgrade your pet's panel. Please select one:
I, the undersigned owner or agent of the pet identified above, authorize the staff of Marina Bay Animal Hospital to perform the above procedure(s). I understand that some risks always exist with anesthesia and/ or surgery and that I am encouraged to discuss any concerns I have about those risks with the attending veterinarian before the procedure(s) is/are initiated. I understand that the attending veterinarian will make every effort to contact me regarding treatment in the case of unforeseen emergencies. If unable to contact me, the attending veterinarian will perform appropriate life saving measures unless you decline such measures:*
We recommend all pets have a means of permanent identification, such as a microchip implanted under the skin. Would you like a microchip implanted today at $51.95?
If we have information to discuss with you, we may contact you via:

Authorization

I accept that all procedures will be performed to the best of the abilities of the staff at this hospital. I understand that no guarantee or warranty has been made regarding the results that may be achieved. I assume full responsibility for any additional expenses incurred after the surgical procedure is performed, such as follow up radiographs, re-check physical exams and additional surgery due to post-op complications. Notice regarding overnight hospitalization at Marina Bay Animal Hospital, between the hours of 6pm and 7:30am there is no staff present to monitor or treat patients on premises. We sometimes keep stable post-surgical and medicine cases overnight. If the veterinarian managing the case feels that it is in the patient's best interest to be under full monitoring overnight, you will be advised prior to 6pm and asked to transfer your pet to a facility for overnight care. Recommendations can be made by your pet's DVM.*
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