• AUTHORIZATION FOR TREATMENT OR SURGERY

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  • 1.Consent: I, and/or ,hereby authorize Las Vegas Veterinary Specialty Center, its Veterinarians,

    assistants, and qualified representatives to treat my pet, . This consent will be valid for ninety (90) days from signing and may be revoked for future treatments at any time.

    Initials:

    2..Treatment: I, consent to all treatments rendered to my pet by Las Vegas Veterinary Specialty Center which they,in their best judgment, deem appropriate and necessary to preserve and enhance the life and well-being of my pet.Such consent includes, but is not limited to, surgery, anesthetizing, blood tests, x-rays, and other medical treatment commonly recognized in veterinary medicine.

    3..Waiver of Liability: I agree to hold Las Vegas Veterinary Specialty Center harmless for any injury or damage tome, my family, or my pet as a result of the rendering of services by the hospital. I understand that there are risks involved in treating animals and I hereby agree to assume all risks arising out of the treatment of my pet by Las Vegas Veterinary Specialty Center.

    4..Abandonment: I understand that if I fail to pick up my pet within ten (10) days of receiving notice that my pet is ready to be retrieved, that my pet may be deemed abandoned pursuant to Nevada Law. If after ten (10) days and proper notice is given, I fail to contact Las Vegas Veterinary Specialty Center and make arrangements to retrieve my pet, the hospital will make alternative arrangements for my pet as they deem proper.

    5..Payment: I understand that regardless of the outcome of any procedure(s) or service(s) rendered by Las Vegas Veterinary Specialty Center, that I am responsible for the fees for all services rendered and costs incurred. Even if I am deemed to have abandoned my pet, I remain responsible for all costs and fees incurred on my behalf and that of my pet. In the event litigation is necessary to enforce the agreement contained herein, the prevailing party shall been titled to recover collection costs, attorney fees, court fees, service fees and miscellaneous fees the court of jurisdiction may award. A delinquent account assigned to a Collection Agency will be charged a Collection Fee of 50%, which will be added to the account balance assigned to the Agency. I understand I may contact the doctor or staff for an update of current charges at any time.

  • 6.Estimates: It is further understood that any estimate given is only an estimate and that such fees and costs are subject to change based upon complications encountered at the time of rendering services. Should additional services become necessary to properly care for this patient, it is possible that actual fees will be greater than those currently anticipated. I acknowledge that any estimate provided to me is valid for a period of thirty (30) days and that I will need to obtain a new estimate if it has been over the thirty (30) day limit. I also acknowledge that I may be asked to provide a deposit of the low end of the estimate given prior to services being rendered.

    7.Representatives: I understand that there are no warranties or guarantees as to any services provided by Las Vegas Veterinary Specialty Center. Any statements made by the hospital as to the likely outcome of any procedures are solely opinions and not made as warranties or guarantees. As with all medical treatment, there are inherent risks, foreseeable and unforeseeable, at the time of entering into this agreement and I specifically agree to assume those risks.

    8.Media Release:Las Vegas Veterinary Specialty Center may take photographs or videos of patients and/or procedures performed. I acknowledge that photos and videos of my pet may be taken and authorize the use in future medical lectures or journal articles, on websites and social media, or used in other forms of media for advertising,publications, and editorials. I also grant permission to use my pet's name and signalment.

    Media-Release Opt-Out
  • ALL IMPLIED WARRANTIES ARE HEREBY EXCLUDED

    I, and/or , represent that I am the owner of the pet, or an agent authorized to act on behalf of the owner(s) of the pet, that my agreement to the terms herein is binding against all other persons who may claim an interest in this pet.

    I have read the foregoing in its entirety. I have had the opportunity to ask questions and have had all of my questions answered. I understand my obligations and agree to the provisions contained here in.
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  • OWNER CONSENT FOR CPR OR DNR


  • Should an emergency occur while your pet is under the care of Las Vegas Veterinary Specialty Center, we must know your wishes for resuscitation so we can take appropriate measures to care for your pet. We place means of resuscitation into two levels; a do not resuscitate order (DNR) means we will not intervene with the natural course of death, in comparison to CPR, in which we perform chest compressions and use drugs to preserve an animal's life. Las Vegas Veterinary Specialty Center professionals understand the bond you have with your pet and wish to do our very best to care for them in your absence while hospitalized. We know that a decision of this magnitude is very difficult but for medical reasons, we must have you, as the owner, choose.
  • I, and/or , as

    the Owner Agent have reviewed the aforementioned information, and understand the terms of care. I, therefore, choose the following level:

    DNR: Do Not Resuscitate

    CPR: Cardiopulmonary Resuscitation
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  • Date Format: MM slash DD slash YYYY