Arlington Veterinary Hospital

(360) 572-0345

7728 204th St NE, Ste B, Arlington, WA 98223

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Anesthetic, Sedation & Surgery Consent Form

Name(Required)
Address

Pet Information

MM slash DD slash YYYY

Procedure Info

MM slash DD slash YYYY
Has your pet had any medications today?(Required)
Consent(Required)
I, the undersigned owner or agent of the owner of, certify that I am eighteen years of age or over and authorize the veterinarian(s) at this practice 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.
Consent(Required)
My signature on this form indicates that any questions I have regarding the following issues have been answered to my satisfaction:
  • The reasonable medical and/or surgical treatment options for my pet
  • Sufficient details of the procedures to understand what will be performed
  • How fully my pet will recover and how long it will take
  • The most common and serious complications
  • The length and type of follow-up care and home restraint required
  • The estimate of the fees for all services
  • Any necessary payment arrangements
Consent(Required)
While I accept that all procedures will be performed to the best of the abilities of the staff at this hospital, I understand that veterinary medicine is not an exact science and that no guarantee or warranty has been made regarding the results that may be achieved. I agree to pay a deposit of 50% of the estimated fees, assume financial responsibility for the remaining fees, and provide payment via cash, credit card, or check at the time my pet is discharged from the hospital. Should unexpected life-saving emergency care be required and the hospital staff is unable to reach me, the staff has my permission to provide such treatment and I agree to pay for such services.
In the event my pet is hospitalized beyond the first day at this facility, I understand that veterinary care during nighttime hours and/or weekends is provided at the discretion of the attending veterinarian. Continuous presence of personnel may not be provided during these hours. If I desire that my pet have supervision when this facility is closed, I elect to pick up my pet and provide such care in my home, in which case I accept all risks of adverse effects or have him/her transferred to a local emergency clinic where overnight veterinary supervision is available at my expense.
I accept that veterinary medicine is an inexact science and that no guarantee of successful treatment has been made. I have read and understand the nature of the above procedures and give my consent to proceed. The most serious complications may include death.
Consent(Required)
If signs of fleas or live fleas are found on my pet, I understand they will be treated with Capstar to immediately kill the fleas.
Would you like your pet microchipped today?(Required)
Would you like us to perform a pre-anesthetic lab profile that will be ran in-house to check your pet's liver and kidney values?(Required)

Testimonials

Dr Olson provides the high standard of care that our pets receive from this spectacular veterinary hospital. The staff communicates well and follows... read more

Ahna B.

All 3 Veterinarians and the staff are very friendly, professional, and caring! They really listen to your concerns & we've received the most... read more

Ramona G

Kind, compassionate, caring staff. I have been to this Veterinary Hospital for end of life care, and new puppy care.... read more

Gretchen E.

Great first visit experience! I'm new to this area and was nervous about my kitty with a new doctor. But they allowed me to come in with him to see... read more

Lauren S.

Everyone is so kind and caring. I recommend them to anyone who is near... read more

Maria J.

Ahna B.

Dr Olson provides the high standard of care that our pets receive from this spectacular veterinary hospital. The staff communicates well and follows through on actions discussed during our visits. The techs are always kind, yet efficient as they interact with our pets. Dr. Olson has been with us through well pet checks and vax, spay and neuter for our canine and feline pets and compassionately helped us make the end of life decision for our 20+ year old cat. That was a tough time for all of us and our family still misses him. We were surprised to get a card from Dr Olson with a heartfelt message to us. That card is now a treasured keepsake of our Sam. We have not brought any goats to Dr Olson but I did see one at the practice during a visit. We highly recommend these folks. They care a lot about the pets and the people who love them.

Ramona G

All 3 Veterinarians and the staff are very friendly, professional, and caring! They really listen to your concerns & we've received the most excellent care for all of our pets.

Gretchen E.

Kind, compassionate, caring staff. I have been to this Veterinary Hospital for end of life care, and new puppy care.

Lauren S.

Great first visit experience! I'm new to this area and was nervous about my kitty with a new doctor. But they allowed me to come in with him to see the doctor which I really appreciated and wasn't expecting. Everyone very sweet and caring. He has to go back for surgery next month but I felt very confident trusting them with my baby.

Maria J.

Everyone is so kind and caring. I recommend them to anyone who is near here.

Our Location

Arlington Veterinary Hospital

7728 204th St NE, Ste B
Arlington, WA 98223

(360) 572-0345

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