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Specialty UltrasoundBooking Consent Form

Please complete our Specialty Ultrasound Booking Consent Form below.

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Specialty Ultrasound Booking Consent

Owner's Name(Required)
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Booking Deposit Acknowledgement: I hereby understand that upon scheduling I am to pay a $200 deposit that is non refundable if canceled within 48 hours of scheduled appointment. If canceled within that window, the entire deposit will be forfeited. I understand my pet needs to be dropped off 2 hrs before the scheduled window for specialty service, this will be relayed from ABC Veterinary Hospital Staff.(Required)
Flea Treatment ($17-$18): For the health and safety of all of our hospitalized pets, all pets housed at our facility must be free of fleas. If fleas or evidence of fleas are found on your pet, an oral rapid-acting flea treatment will be administered (Capstar) at the owner's cost without the need for approval.(Required)
Injectable Sedation Consent (if needed): I am the owner or the agent for the owner of the animal described above, and I have the authority to execute this consent. The nature of the procedure and the potential risks have been explained to me and I understand the procedure(s) to be performed. I understand that some risks always exist with sedation, and I am encouraged to discuss any concerns I have about those risks with my veterinarian before the procedure(s) are initiated. My signature on this consent form indicates that any and all my questions have been answered to my satisfaction. I hereby authorize ABC Veterinary Hospital Pacific Beach to administer sedation for my pet. Although rare, unexpected complications with sedation can occur. I understand the risks and understand that the veterinarians and hospital team will do everything possible to minimize any risks. Notwithstanding the risk, I waive any and all claims of damage against ABC Veterinary Hospital Pacific Beach, its officers and employees, in the event of injury or death of my animal.(Required)
I understand that full payment for services is due at time of services. I understand that as the owner or agent, I am financially responsible for all charges relating to this patient. I have read and agreed to this treatment authorization and have agreed to the financial obligations.(Required)
Clear Signature
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