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Exotic Handling Release Form
Please fill out this release electronically prior to your appointment.
Date
MM slash DD slash YYYY
Owner's Name
(Required)
First
Last
Email
(Required)
Pet's Name
(Required)
Exotic pets are sensitive to physical and environmental stresses. Because of these stresses your pet will be carefully monitored during procedures for safety. Understand that even with gentle handling, exotic pets can become stressed, leading to injury or death even when there are the best of intentions. I understand the staff of Family Pet Health, PLLC. offered and will perform treatments within the scope of their expertise Family Pet Health, PLLC. Doctors and staff are aware of these complications and take precaution when handling your pets.
(Required)
I have read and understand.
I have been informed that there are certain risks and complications associated with sedation, anesthesia, and/or any handling operation/procedure and that the risks/complications have been explained to me. I further understand that during the course of the operations or procedures, unforeseen conditions may arise that may necessitate the performance of additional procedures deemed necessary by the veterinarian. I am encouraged to discuss any concerns I have about these risks with the attending veterinarian before the procedure is initiated.
(Required)
I have read and understand.
The nature of these operations or procedures has been explained to me and I understand what will be done. I am aware that the practice of veterinary medicine is not an exact science and, thus, there are no guarantees for successful treatment. I have been encouraged and given the opportunity to discuss any questions I may have regarding my pet's medical care and my questions have been answered to my satisfaction. I accept that my financial obligations remain regardless of the outcome.
(Required)
I have read and understand.
Signature
(Required)
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