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Sedation Consent Form

Save time during your appointment. Complete the sedation consent form online from any device at any time before your visit.

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Pawsitive Wellness Veterinary Care clients are provided with the premier standard of treatment and care. And that goes for you, too. When you join the Pawsitive Wellness Veterinary Care family, you know we have your and your pet’s wellbeing at heart.

Sedation Consent Form

Contact Information

Owner *

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Home Phone *

Mobile Phone

Patient Information

Patient Name *

First

Last

Patient Age

Breed *

Sex

Male
Female

Color *

Microchip Number

For the purpose of:

{Consult Presenting Problems}

Consent For Sedation

Consent For Sedation *

I am the Owner / Authorized agent of the pet described above. I consent for the patient described above to have sedation.

Consent For Sedation (copy) *

I agree to this procedure, the risks of the procedure have been explained to my satisfaction, and my questions regarding this procedure have been answered to my satisfaction.

Consent For Sedation *

The above contact information is accurate and I will be available by phone at all times today. Should I not be available when/if the doctor calls me for any reason, including but not limited to emergency care decisions, during said procedure I give consent for Her/Him to proceed and do what She/He feels medically necessary for the above listed patient and understand that I am authorizing further medically necessary treatments and the fees associated with them no matter the outcome.

Today's Date *

Website

Sedation Consent Form

Join the Pawsitive Wellness Family

Sedation Consent Form

Contact Information

Patient Information

Consent For Sedation

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