Book Appointment
Book Appointment

Surgery Consent Form

Preparing your pet for surgery? Fill out our Surgery & Anesthesia Consent Form at Foothills Animal Clinic to ensure a smooth, safe procedure.

Get Started

Surgery Consent Form

Please fill out the following form as thoroughly as possible before your scheduled appointment. Please note: All * fields are required. If you have any questions, please don’t hesitate to call us.

PET HISTORY

Owner Release

Clear Signature
I hereby irrevocably consent to and authorize the use and reproduction of any and all photographs or radiographs taken of my pet without further compensation to me by Foothills Animal Clinic, or anyone authorized by Foothills Animal Clinic or their partners or associated business entities for marketing purposes. All negative, positive, and digital images together with the prints shall constitute Foothills Animal Clinic property, solely and completely. I hereby certify that I am the parent/guardian/owner of pet and I do give my consent without reservations to the foregoing on behalf of him/her/them.
Clear Signature
Sign here
Clear Signature
Sign here

Authorization to provide care

Clear Signature
Sign here
Clear Signature
Sign here