Procedure and Risks: Your animal is undergoing spay and/or neuter surgery. There are natural risks involved with the surgery itself, and the use of anesthetics and other drugs. Injury and death can result from the surgery, any related procedures, and from complications following surgery. The contracted veterinary partners do not conduct per-operative blood tests and your pet may have unknown disorders of the liver, kidney, blood, and/or other system. Such disorders may increase your pets' anesthetic risks.

The following conditions increase the possibility of complications or death before, during, or after surgery:
• Animals in advanced stages of pregnancy
• Animals in heat
• Animals of advanced age
• Animals suffering from worms, leukemia, or other diseases or injury.

Your dog/cat will receive a small tattoo on their underside to show that they have been sterilized.

Consent: I am 18 years of age or older and the owner or authorized agent responsible for the animal. I understand the risks involved in my animal's surgery and that injury or death may occur. I assume full responsibility for the consequences that may arise. I authorize PetBridge Demo and its veterinary partners, its staff members, volunteers and/or agents to receive, transport, and perform any and all necessary services for the sterilization surgery to be performed.

To my knowledge this animal is in good health.

If the animal(s) dies as a result of surgery, I will be notified, and the animal may be picked up by me or the remains will be taken care of in accordance with state laws and the policy of this clinic. I understand that i am responsible for paying all costs of services rendered, including the cost of keeping and/or disposing of animals.

I understand that PetBridge Demo, nor their veterinary partners, are not responsible for complications resulting from my failure to follow post-operative instructions; my request to release the animal early, while still showing signs of sedation; my failure to keep the animal indoors for seven (7) days; or for contagious diseases for which the animal was not previously vaccinated, including kennel cough.

l acknowledge that no guarantees or assurances have been made to me regarding the results of this surgery. I acknowledge that my animal will be micro-chipped while anesthetized for surgery. PetBridge Demo SNC will register the microchip with the owner's contact information.