Surgical Release Form

I understand that during the performance of the following procedure(s), unforeseen conditions may be revealed that necessitate an extension of the foregoing procedures, or even procedures different from those set forth previously. I hereby consent and authorize the performance of such procedures as necessary and desirable in the exercise of the veterinarian’s professional judgment. I have been advised of the nature of the services and procedures as well as the risks involved, and while I expect all procedures to be performed to the best of the staff’s abilities, I realize that medical results cannot be guaranteed. I further recognize that a stay in a veterinary hospital can be stressful for my pet, and I authorize the use of anti‐anxiety medication (such as valium) to calm my pet if indicated and agree to pay for the anti‐anxiety medication. I authorize Stephen Katz, VMD, and/or his agents to perform any diagnostic, therapeutic, anesthetic, emergency, and surgical procedures necessary for treating and maintaining my pet’s health and well being. I expect Dr. Katz and/or his agents to use reasonable precautions to ensure my pet’s safety, and I agree to pay in full when my pet is discharged (unless other arrangements have been made). I agree not to hold liable The Bronx Veterinary Center or any of its agents in any way. I understand that it is my responsibility to pick up my pet when advised by the BVC and will be charged for any additional stay/care.