Informed Consent for Hospitalization & Medical Treatment
Owner’s Name______________________Pet__________
I, being responsible for the above described animal have the authority to grant you my consent to care for, treat, and medicate my pet.
I understand the treatment contemplated is____________________________.
Of course there’s some risk:
FoxNest will use all reasonable precautions against injury, escape or demise of your pet, but animals in stressful or unusual situations sometimes panic, hurt themselves trying to escape, get stress related diarrhea, attack other patients, get away from our handlers, and can experience negative reactions to medications. Such things are risks that you assume.
One of the biggest risks is missing a hidden medical problem. We can greatly reduce this risk and perform a much higher quality of medical care by performing laboratory tests and radiographs, but such things cost money. We will recommend what ever we think will be beneficial for your pet but you will have to decide whether or not to risk less expensive care.
Another risk is not treating borderline patients aggressively enough in order to save money. IV Fluids, special diets, supplements, anti-oxidants, pain management, and oxygen therapy are all examples of treatments that sometimes make the difference between successful care and disaster. Once again, you will have to decide based on your budget and need to be willing to accept extra risk if recommended treatment is declined.
I acknowledge that life and health can be fragile: Sometimes even great medical care is unsuccessful. And all medications, vaccines, and medical treatments occasionally cause bad side effects or complications
Fleas, Ticks, and Filth: If your pet has fleas, ticks, or is covered in mud, mats, burrs, and so forth; we may charge you for a bath and/or parasite control.
I’m a responsible adult and understand there are expenses to providing good medical care that I am responsible for. I I also understand that there are risks of failure or complications, especially if I choose to decline recommended blood work, radiographs, and aggressive care.
_____________________________________________date____________________
