Surgical Release Form

While there are risks associated with general anesthesia, be assured that Mt. McKinley Animal Hospital will take every precaution to minimize risk by always performing the following:

• Physical exam prior to anesthesia
• Multi-parameter monitoring (blood pressure, EKG, CO2, heart/respiratory/temp)
• Intravenous (IV) catheter and fluid therapy
• Preoperative and postoperative pain control injections
• Endotracheal intubation and oxygen therapy
• Injectable and inhalant anesthetics based on your pet’s age and specific medical needs

I hereby authorize Mt. McKinley Animal Hospital to perform such diagnostic , therapeutic and surgical procedures as described above. The nature of such services has been described to me to my satisfaction. I realize that there are risks involved with any anesthetic or surgical procedure and that no guarantee or warranty can be made regarding the results or cure. I also authorize the hospital staff in an emergency situation, to follow through with such procedures as are necessary for the well being of my pet on a continuing basis until further communication with me I understand that veterinary care during the night time hours is provided at the discretion of the attending veterinarian. Continuous presence of personnel may not be provided during these hours.  I have been given an estimate and understand that it is an approximation of planned procedures and the final bill may be more or less than this amount. I understand that I assume financial responsibility for all services rendered.