COVID-19 ANNOUNCEMENT: Wake Veterinary Hospital & Urgent Care is now allowing vaccinated clients to have the option of wearing a mask when coming into our hospital. We strongly encourage clients who are not vaccinated to wear a mask or facial covering when inside the hospital or interacting with our staff. The safety of both our staff and clients is of the utmost importance to Wake Veterinary Hospital & Urgent Care. Thank you for your continued support.

Dental Anesthesia Consent Form

Client Name
Patient Name
Where you can be reached during the day
Would you like for us to text or call?

Anesthetic/Surgical procedures to be performed:
Pre-Anesthetic Blood Testing(Required)
It is important to understand that a pre-anesthetic profile does not guarantee the absence of anesthetic complications. It may, however, greatly reduce the risk of complications as well as identify medical conditions that could require medical treatment in the future.

Our greatest concern is the well-being of your pet. We will perform a physical examination before administering anesthesia. However, disorders of the liver, kidneys or blood, are not detected unless blood testing is done.

Abnormalities of any of these may increase anesthetic risk. For these reasons we highly recommend pre-anesthetic blood screens.
Microchip

Authorization to Perform Surgical Procedure and/or Treatments

I, the undersigned owner or owner's agent, of the pet mentioned above the hereby authorize the doctors at Wake Vet Hospital & Urgent Care to perform the above anesthetic and surgical procedure(s) for my pet. I understand that some risk always exists with anesthesia and/or surgery, and that I am encouraged to discuss any concerns about those risks with the attending veterinarian before the procedure(s) is/are initiated.

**I give my consent to have diseased/broken teeth extracted by the veterinarian. I understand that I will not be called before the extractions are performed.**
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Wake Veterinary Hospital & Urgent Care

1007 Tandal Place
Knightdale, NC 27545
Phone: (919) 266-9852
Fax: (919) 217-0314
Email: [email protected]

OPEN 24 HOURS EVERY DAY

For after hours emergencies, please call (919) 266-9852.