I, the undersigned, being owner or authorized agent of the above described pet, consent to the administration of anesthesia for a Dental Cleaning. Once tartar and calculus are removed, the oral cavity is examined for lesions, decayed/broken tooth roots, nerve exposure, and infection. Any oral surgery that the veterinarian deems necessary will be performed at this time, including dental extractions; this is sometimes unforeseen until the teeth have been thoroughly cleaned and examined under anesthesia. I understand that such procedures entail a degree of risk, particularly if unforeseen medical or physical conditions exist, and although rare, complications and death can sometimes occur.

I understand that by authorizing a pre-anesthetic blood screen for my pet can reduce the risk of anesthesia. Results will be immediately available before your pet’s anesthesia is administered. If there is any indication of an abnormality, we will contact you before proceeding or take steps necessary to ensure the safety of your pets.