Sedation Release Form Sedation/Tranquilization Release Form Owner Name(Required) First Last Pet Name(Required) Pet Name Phone(Required)Terms and Conditions(Required) By checking this box and signing below, I certify that I am the rightful owner of the above listed pet and have read and understood the listed terms and conditions.1. I, the undersigned, do hereby certify that I am the owner (duly authorized agent for the owner) of the animal described above. I do hereby grant permission to Dr. Evelyn Tom, Singing Hills Animal Hospital, their agents, servants, and/or representatives for full and complete authority to administer tranquilization/sedation on my pet in order to perform procedures. 2. Should the doctor(s) find medical problems that otherwise would not have been discovered except under sedation, I authorize the doctor(s) to provide treatment(s) to my pet while they are under sedation or tranquilization. I understand that I am financially responsible for any treatment performed while my pet is under the care of Dr. Evelyn Tom, Singing Hills Animal Hospital, their agents, servants, and/or representatives. 3. I authorize procedures, at their discretion, that are advised and useful to promote/protect the health of the above described pet. I do hereby forever release Dr. Evelyn Tom, relief veterinarians, Singing Hills Animal Hospital, their agents, servants, and/or representatives from any and all liability arising from said surgery, procedure, or unforeseen even on said animal.Signature(Required)
