PLEASE READ, SIGNATURE REQUIRED WHEN YOU BRING IN YOUR PET

I, the undersigned, have read and understand this entire page and authorize Clemson Paw Partners to anesthetize, surgically sterilize, and provide other related medical care to animal(s) I have listed on the front of this waiver. I agree to pay according to the fee schedule set up by CPP.

I understand there are medical risks associated with the Procedure, including but not limited to infection, hemorrhage, allergic reaction, anesthetic drug reaction, anesthesia-induced cardiac compromise, and death. I understand that CPP will not perform a comprehensive cardiac exam, other diagnostic tests, and blood-work prior to the Procedure. I understand that there are increased risks due to the fact that CPP will not perform extensive pre-operative diagnostic evaluations. I further understand that there are additional risks if the pet is not current on recommended vaccines.

I will hold harmless CPP, its officers, directors, veterinarians, technicians, volunteers, and agents for any problems experienced by the animal as a result of the Procedure or the above risk factors,

If in the course of treatment a condition is discovered that requires medical attention or an additional procedure, such as hernia repair, the administration of IV fluids, or pregnancy, the attending veterinarian may, in his/her absolute discretion, perform such procedure. I understand that in the case of pregnancy, administration of anesthesia will subsequently terminate the fetuses without recourse of life saving measures. I consent to these procedures and agree to pay reasonable additional charges if any. I agree that I will be financially responsible for any post-operative medical treatment relating to this Procedure or any other unrelated medical problems of my animal.

I understand that any cat brought into the clinic for a surgical procedure will be sterilized, ear tipped, dewormed and vaccinated against rabies. Your animal will receive a small green tattoo on his/her underside to show that he/she has been sterilized.

I understand that anesthesia risks are associated with an animal with Heartworms. CPP recommends that your animal be tested for Heartworms before surgery.

A non-refundable deposit of $25.00 is required with this application. This fee will go towards any services rendered.

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